NPIMap

Organization Active NPI

Malone & Costa, PLLC

  • General Practice Dentistry
  • Knoxville, TN
National Provider Identifier
1174183990
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MALONE & COSTA, PLLC
Practice address
264 S Peters Rd
Knoxville, TN 37923-5203
Phone
(865) 539-1776
Fax
(865) 539-1585
NPI assigned
Jun 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Authorized official

Name
Ms. Kimberley W West, RDA
Title
Office Administrator
Phone
(865) 539-1776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

264 S Peters Rd
Knoxville, TN 37923-5203

Mailing address

264 S Peters Rd
Knoxville, TN 37923-5203
Phone (865) 539-1776

Other names 1

  • Knoxville Smiles Other name

National Provider Directory

National Provider Directory

Locations

264 S Peters Rd
Knoxville, TN 37923
Phone (865) 539-1776

Practitioners & affiliated clinicians

Practitioners 5

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": "1560470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1174183990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 S PETERS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235203",
            "telephone_number": "865-539-1776",
            "fax_number": "865-539-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 S PETERS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235203",
            "telephone_number": "865-539-1776",
            "fax_number": "865-539-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALONE & COSTA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "865-539-1776",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knoxville Smiles",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 14, 2019; 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.