Individual provider Active NPI

Shelly J. Temperley, MD

  • Ophthalmology Physician
  • Monroe, MI
National Provider Identifier
1477556678
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301051963 Issued in MI
Practice address
1404 Arbor Ave
Monroe, MI 48162-3102
Phone
(734) 915-1376
Fax
(740) 294-5627
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 4301051963 MI
Ophthalmology Physician 207W00000X 4301051963 MI Primary

Addresses

Primary practice location

1404 Arbor Ave
Monroe, MI 48162-3102

Mailing address

1404 Arbor Ave
Monroe, MI 48162-3102
Phone (734) 915-1376

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301051963MIMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1477556678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 ARBOR AVE",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623102",
            "telephone_number": "734-915-1376",
            "fax_number": "740-294-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 ARBOR AVE",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623102",
            "telephone_number": "734-915-1376",
            "fax_number": "740-294-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPERLEY",
        "first_name": "SHELLY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301051963",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301051963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.