Active NPI
Nessim Temstet
- Dentist
- Philadelphia, PA
National Provider Identifier
1437728052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS043179
- Practice address
- 200 Walnut St
Philadelphia, PA 19106-3904 - Phone
- (215) 923-2233
- NPI assigned
- Jun 18, 2021
- Last updated
- Jun 18, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS043179 | PA | Primary |
Addresses
Primary practice location
200 Walnut St
Philadelphia, PA 19106-3904
Mailing address
4105 Spruce St Apt D4
Philadelphia, PA 19104-4049
Phone (646) 673-7374
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS043179 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Dental, LLC | Dentist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1437728052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4105 SPRUCE ST APT D4",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044049",
"telephone_number": "646-673-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WALNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191063904",
"telephone_number": "215-923-2233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMSTET",
"first_name": "NESSIM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-18",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS043179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
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- Tenacious Home Care
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- Tender & Care Healthcare Services Etc LLC
- Tender Care Professional Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.