Camila Temple Vidal, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

238524 Issued in NC

Practice address

709 N Justice St Ste B
Hendersonville, NC 28791-3455

Phone

(828) 696-1234

NPI assigned

Jun 27, 2018

Last updated

Jun 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1376038794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 N JUSTICE ST STE B",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913455",
            "telephone_number": "828-696-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N JUSTICE ST STE B",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913455",
            "telephone_number": "828-696-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLE VIDAL",
        "first_name": "CAMILA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "238524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Taunton, DMD
• Anita Taylor
• Corrine Taylor, MSW, LCSWA
• Dewey David Taylor, M.S. CCC SLP
• Allison J Teeples, CRNA
• Russell Dale Templeton, DC
• Zachary Tennent
• Hannah Tesnow
• Tetra Health & Rehab Center, LLC
• Kathleen Mary Tetrault

• Family Medicine Physician in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.