Individual provider Active NPI

Joel R Temple, M.D.

  • Allergy Physician
  • Dover, DE
National Provider Identifier
1891793352
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
C1 0000597 Issued in DE
Practice address
9 E Loockerman St
Suite 303
Dover, DE 19901-8306
Phone
(302) 678-1343
Fax
(302) 678-1344
NPI assigned
Jul 8, 2005
Last updated
Aug 22, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X C1 0000597 DE Primary

Addresses

Primary practice location

9 E Loockerman St
Suite 303
Dover, DE 19901-8306

Mailing address

9 E Loockerman St
Suite 303
Dover, DE 19901-8306
Phone (302) 678-1343

Other identifiers 1

IdentifierTypeStateIssuer
0000021401MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100217000117 DE Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 8729122585 Practice locations: Dover, DE

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1 0000597DEMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joel R Temple MD Allergy PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1891793352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E LOOCKERMAN ST",
            "address_2": "SUITE 303",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199018306",
            "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",
            "address_2": "SUITE 303",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199018306",
            "telephone_number": "302-678-1343",
            "fax_number": "302-678-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "JOEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "DE",
            "license": "C1 0000597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000021401",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.