Organization Active NPI

Confident Smiles & Implants

  • Dentist
  • Farragut, TN
National Provider Identifier
1073134516
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CONFIDENT SMILES & IMPLANTS
Practice address
12802 Kingston Pike Ste 101
Farragut, TN 37934-0919
Phone
(865) 248-2312
NPI assigned
May 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
Tori Mariusso, DMDNPI 1679007348
Title
Owner Dentist
Phone
(813) 957-4891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

12802 Kingston Pike Ste 101
Farragut, TN 37934-0919

Mailing address

12802 Kingston Pike Ste 101
Farragut, TN 37934-0919
Phone (865) 248-2312

Other identifiers 2

IdentifierTypeStateIssuer
1093235665OtherTNNPI
1679007348OtherTNNPI 1679007348

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NA Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

12802 Kingston Pike
Ste 101
Farragut, TN 37934
Phone (865) 248-2312

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": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1073134516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12802 KINGSTON PIKE STE 101",
            "city": "FARRAGUT",
            "state": "TN",
            "postal_code": "379340919",
            "telephone_number": "865-248-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12802 KINGSTON PIKE STE 101",
            "city": "FARRAGUT",
            "state": "TN",
            "postal_code": "379340919",
            "telephone_number": "865-248-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFIDENT SMILES & IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "MARIUSSO",
        "authorized_official_first_name": "TORI",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "813-957-4891",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093235665",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1679007348",
            "identifier": "1679007348",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "12802 Kingston Pike Ste 101",
            "city": "Farragut",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379340919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farragut, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.