Individual provider Active NPI

David Lawrence Tempest, MD

  • Family Medicine Physician
  • Jemez Pueblo, NM
National Provider Identifier
1689735540
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2009-0748 Issued in NM
Practice address
110 Sheep Springs Way
Jemez Pueblo, NM 87024
Phone
(575) 834-7413
Fax
(575) 834-3081
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 000032182 NC
Family Medicine Physician 207Q00000X MD2009-0748 NM Primary

Addresses

Primary practice location

110 Sheep Springs Way
Jemez Pueblo, NM 87024

Mailing address

P.O. Box 279
Jemez Pueblo, NM 87024
Phone (575) 834-7413

Other identifiers 1

IdentifierTypeStateIssuer
8982358MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101122000634 TX Practitioner - Family Practice 4385558915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pueblo of JemezGroup PAC ID 3971584509, 22 clinicians

Practice addresses (Care Compare)

110 Sheep Springs
Jemez Pueblo, NM 87024
Phone (575) 834-7413

110 Sheep Springs
Jemez Pueblo, NM 87024-0279

P O Box
Jemez Pueblo, NM 87024-0279

PO Box
Jemez Pueblo, NM 87024

PO Box
Jemez Pueblo, NM 87024-0279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
000032182NCMDFamily Medicine Physician
MD2009-0748NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Health Services, Inc. PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1689735540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 279",
            "city": "JEMEZ PUEBLO",
            "state": "NM",
            "postal_code": "87024",
            "telephone_number": "575-834-7413",
            "fax_number": "575-834-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SHEEP SPRINGS WAY",
            "city": "JEMEZ PUEBLO",
            "state": "NM",
            "postal_code": "87024",
            "telephone_number": "575-834-7413",
            "fax_number": "575-834-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPEST",
        "first_name": "DAVID",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "000032182",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2009-0748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8982358",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jemez Pueblo, NM

Sources for this page

Verify at the official NPI Registry.