Organization Active NPI

West Knoxville Dental Associates

  • Dental Clinic/Center
  • Knoxville, TN
National Provider Identifier
1124988092
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WEST KNOXVILLE DENTAL ASSOCIATES
Practice address
310 Simmons Rd Ste I
Knoxville, TN 37922-1943
Phone
(360) 513-5328
NPI assigned
Nov 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Kearstin Stallings
Title
Ceo
Phone
(770) 307-8726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

310 Simmons Rd Ste I
Knoxville, TN 37922-1943

Mailing address

310 Simmons Rd Ste I
Knoxville, TN 37922-1943
Phone (360) 513-5328

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1124988092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SIMMONS RD STE I",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221943",
            "telephone_number": "360-513-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SIMMONS RD STE I",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221943",
            "telephone_number": "360-513-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST KNOXVILLE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "STALLINGS",
        "authorized_official_first_name": "KEARSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-307-8726"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.