Active NPI
Kenneth Floyd Tempero, MD, PHD
- Rheumatology Physician
- Wayzata, MN
National Provider Identifier
1871865840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 18570
- Practice address
- 1901 Lake Rd
Wayzata, MN 55391-9715 - Phone
- (952) 476-9024
- Fax
- (952) 476-9026
- NPI assigned
- Feb 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 18570 | MN | Primary |
| Clinical Pharmacology Physician | 208U00000X | 18570 | MN |
Addresses
Primary practice location
1901 Lake Rd
Wayzata, MN 55391-9715
Mailing address
1901 Lake Rd
Wayzata, MN 55391-9715
Phone (952) 476-9024
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
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18570 | MN | MD | Clinical Pharmacology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328486400000",
"number": "1871865840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 LAKE RD",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553919715",
"telephone_number": "952-476-9024",
"fax_number": "952-476-9026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 LAKE RD",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553919715",
"telephone_number": "952-476-9024",
"fax_number": "952-476-9026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMPERO",
"first_name": "KENNETH",
"middle_name": "FLOYD",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-06",
"last_updated": "2012-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MN",
"license": "18570",
"primary": true
},
{
"code": "208U00000X",
"taxonomy_group": "",
"desc": "Clinical Pharmacology",
"state": "MN",
"license": "18570",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayzata, MN
- Gwendolyn F Svenvold, PHARM D
- Abby Rose Swandal, LADC, LAMFT
- Marcia Mae Swanson, L.AC.
- Tamber Health of Minnesota, P.C. (Tamber)
- Taylor J. Stephens, D.D.S, P.a. (Tailwind Pediatric Dentistry)
- Amanda Kay Templeton, LMT
- Frank C Thayer, LAMFT, LADC
- The Brost Clinic, PA
- The Eye Doctors Office, PA (Art of Optiks)
- Deborah A Thompson, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.