Active NPI
Amy F Temple, DDS
- General Practice Dentistry
- Kernersville, NC
National Provider Identifier
1407877020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7333
- Practice address
- 840 Salisbury St
Kernersville, NC 27284-3032 - Phone
- (336) 993-5599
- Fax
- (336) 993-0877
- NPI assigned
- Jul 21, 2006
- Last updated
- Sep 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7333 | NC | Primary |
Addresses
Primary practice location
840 Salisbury St
Kernersville, NC 27284-3032
Mailing address
840 Salisbury St
Kernersville, NC 27284-3032
Phone (336) 993-5599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89902JU | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Byrd Kernersville, PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kernersville Dental
- General Practice Dentistry
- Kernersville, NC
- NPI 1477401065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189641600000",
"number": "1407877020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 SALISBURY ST",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272843032",
"telephone_number": "336-993-5599",
"fax_number": "336-993-0877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 SALISBURY ST",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272843032",
"telephone_number": "336-993-5599",
"fax_number": "336-993-0877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMPLE",
"first_name": "AMY",
"middle_name": "F",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2007-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "7333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89902JU",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kernersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.