Active NPI
Dylan Elijah Templeton, IDMT
- Independent Duty Medical Technicians
- Saint Marys, WV
National Provider Identifier
1801639125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Medical Technicians
- Practice address
- 641 Wrights Run Rd
Saint Marys, WV 26170-8352 - Phone
- (304) 480-9292
- NPI assigned
- Jun 14, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Medical Technicians | 1710I1003X | TX | Primary |
Addresses
Primary practice location
641 Wrights Run Rd
Saint Marys, WV 26170-8352
Mailing address
641 Wrights Run Rd
Saint Marys, WV 26170-8352
Phone (304) 480-9292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1801639125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 WRIGHTS RUN RD",
"city": "SAINT MARYS",
"state": "WV",
"postal_code": "261708352",
"telephone_number": "304-480-9292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 WRIGHTS RUN RD",
"city": "SAINT MARYS",
"state": "WV",
"postal_code": "261708352",
"telephone_number": "304-480-9292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMPLETON",
"first_name": "DYLAN",
"middle_name": "ELIJAH",
"credential": "IDMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-14",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1003X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Medical Technicians",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Marys, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.