Kimball B Temple, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

4452 Issued in NH

Practice address

580 Court St
Keene, NH 03431-1718

Phone

(603) 354-6575

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spirit Lake Health Center

  • Health Service Clinic/Center
  • Fort Totten, ND
  • NPI 1073665493

  Multi-Specialty

  NPD (past)
• Spirit Lake Tribe

  • Health Service Clinic/Center
  • Fort Totten, ND
  • NPI 1114472891

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609892983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 JORDAN RD",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034315509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 COURT ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311718",
            "telephone_number": "603-354-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "KIMBALL",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NH",
            "license": "4452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000191",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Marie Tasho
• Sarah Ann Taylor-Black, MD
• Betsy Taylor, M.A., LCMHC
• Ahmad Tayyab, MD
• Wayne Temmen, PA-C
• David S. Tenney, M.A.C.P.
• Christopher William Tetley, ATC
• Amy E Thacker, CCC-SLP
• The Training Room, Inc.
• Lionel Harvey Thibault Jr., LNA

• Specialist in Keene, NH
• Providers in Keene, NH by specialty
• Specialist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.