Individual provider Active NPI

Timothy D Kemple, DPM

  • Podiatrist
  • Salem, NH
National Provider Identifier
1851461412
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
204 Issued in NH
Practice address
198 Main St
Salem, NH 03079-3113
Phone
(603) 898-5864
Fax
(603) 898-1207
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 204 NH Primary
Podiatrist 213E00000X 1854 MA

Addresses

Primary practice location

198 Main St
Salem, NH 03079-3113

Mailing address

198 Main St
Salem, NH 03079-3113
Phone (603) 898-5864

Other identifiers 4

IdentifierTypeStateIssuer
0308277Y0NH03OtherNHANTHEM
PRK020OtherNHHARVARD PILGRIM
30363927MedicaidNH
PRK020OtherMAHARVARD PILGRIM

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1854MAMDPodiatrist
204NHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Salem Family Footcare Associates PC Podiatrist PastSince Nov 1, 2004 Accepting new patients
Derry Surgery Center LP PastSince Sep 30, 2004 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/c3T6PEIfPZoUF9gf3uvco_NB4kf7fIWo/

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1851461412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 MAIN ST",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793113",
            "telephone_number": "603-898-5864",
            "fax_number": "603-898-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 MAIN ST",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793113",
            "telephone_number": "603-898-5864",
            "fax_number": "603-898-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPLE",
        "first_name": "TIMOTHY",
        "middle_name": "D",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NH",
            "license": "204",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1854",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0308277Y0NH03",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "PRK020",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30363927",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "PRK020",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.