NPIMap

Organization Active NPI

Temple Medical Practice, P.C

  • Family Medicine Physician
  • Stoughton, MA
National Provider Identifier
1700935442
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TEMPLE MEDICAL PRACTICE, P.C
Practice address
966 Park St
Suite C2-1
Stoughton, MA 02072-3650
Phone
(781) 297-8872
Fax
(781) 297-8873
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Debbie FuentesNPI 1639144074
Title
President
Phone
(781) 297-8875

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

966 Park St
Suite C2-1
Stoughton, MA 02072-3650

Mailing address

966 Park St
Suite C2-1
Stoughton, MA 02072-3650
Phone (781) 297-8872

National Provider Directory

National Provider Directory

Locations

966 Park St
#C21
Stoughton, MA 02072
Phone (781) 297-8872

966 Park St
Ste C21
Stoughton, MA 02072
Phone (781) 297-8872

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700935442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 PARK ST",
            "address_2": "SUITE C2-1",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723650",
            "telephone_number": "781-297-8872",
            "fax_number": "781-297-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 PARK ST",
            "address_2": "SUITE C2-1",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723650",
            "telephone_number": "781-297-8872",
            "fax_number": "781-297-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE MEDICAL PRACTICE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-297-8875"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.