Organization Active NPI

Joel R Temple MD

  • Allergy Physician
  • Dover, DE
National Provider Identifier
1780065151
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
C1-0000597 Issued in DE
Legal business name
JOEL R TEMPLE MD
Practice address
9 E Loockerman St Ste 303
Dover, DE 19901-8305
Phone
(302) 678-1343
Fax
(302) 678-1344
NPI assigned
Jun 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Ms. Shawn L Edwards
Title
Office Manager
Phone
(302) 678-1343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X C1-0000597 DE Primary

Addresses

Primary practice location

9 E Loockerman St Ste 303
Dover, DE 19901-8305

Mailing address

9 E Loockerman St Ste 303
Dover, DE 19901-8305
Phone (302) 678-1343

Other identifiers 1

IdentifierTypeStateIssuer
207KA0200XMedicaidDE

National Provider Directory

National Provider Directory

Locations

9 E Loockerman St
Ste 303
Dover, DE 19901
Phone (302) 678-1343

Practitioners & affiliated clinicians

Practitioners 1

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": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1780065151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E LOOCKERMAN ST STE 303",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199018305",
            "telephone_number": "302-678-1343",
            "fax_number": "302-678-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E LOOCKERMAN ST STE 303",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199018305",
            "telephone_number": "302-678-1343",
            "fax_number": "302-678-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL R TEMPLE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "302-678-1343",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "DE",
            "license": "C1-0000597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207KA0200X",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.