Active NPI
John David Temple, MD
- Orthopaedic Surgery Physician
- Charlotte, NC
National Provider Identifier
1700868577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2005-00440
- Practice address
- 10650 Park Rd Ste 120
Charlotte, NC 28210 - Phone
- (704) 323-2000
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 2005-00440 | NC | |
| Orthopaedic Surgery Physician | 207X00000X | 2005-00440 | NC | Primary |
Addresses
Primary practice location
10650 Park Rd Ste 120
Charlotte, NC 28210
Mailing address
4601 Park Rd
Ste 300
Charlotte, NC 28209-3239
Phone (704) 323-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N0044F | Medicaid | SC | |
| 5902217 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050715001064 | NC | Practitioner - Orthopedic Surgery | 9436126158 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocarolina, PA | Orthopaedic Surgery | Current | Accepting new patients |
| Kerlan-Jobe Orthopaedic Clinic | Orthopaedic Surgery | Past | Accepting new patients |
Locations
1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000
4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090
9101 Pineville Matthews Rd
Ste D
Pineville, NC 28134
Phone (704) 323-3300
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Los Angeles, CA
- NPI 1639141153
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1700868577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 PARK RD",
"address_2": "STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093239",
"telephone_number": "704-323-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10650 PARK RD STE 120",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28210",
"telephone_number": "704-323-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMPLE",
"first_name": "JOHN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NC",
"license": "2005-00440",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "2005-00440",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N0044F",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5902217",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.