Individual provider Active NPI

Ciara Lentini, DDS

  • Dentist
  • Chattanooga, TN
National Provider Identifier
1346811619
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12044 Issued in TN
Practice address
4618 Highway 58
Chattanooga, TN 37416-3013
Phone
(423) 702-6195
NPI assigned
Jul 7, 2021
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN122417 GA
Dentist 122300000X 12044 TN Primary
Student in an Organized Health Care Education/Training Program 390200000X GA

Addresses

Primary practice location

4618 Highway 58
Chattanooga, TN 37416-3013

Mailing address

4618 Tennessee Ave # 58
Chattanooga, TN 37409-1662
Phone (423) 702-6195

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address ciara.wilke@va.gov Direct
Direct Messaging Address wilkec@umich.edu Direct
Direct Messaging Address wilkec@umich.edu Direct

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

State licenses

LicenseStateTypeSpecialty
DN122417GAMDDentist
12044TNMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1346811619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4618 TENNESSEE AVE # 58",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374091662",
            "telephone_number": "423-702-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4618 HIGHWAY 58",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374163013",
            "telephone_number": "423-702-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTINI",
        "first_name": "CIARA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN122417",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "12044",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ciara.wilke@va.gov",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1 Freedom Way",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309046258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wilkec@umich.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "4618 Highway 58",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374163013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wilkec@umich.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4618 Highway 58",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374163013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.