Organization Active NPI

Fountain City Smiles PLLC

  • General Practice Dentistry
  • Knoxville, TN
National Provider Identifier
1477380137
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FOUNTAIN CITY SMILES PLLC
Practice address
2944 Tazewell Pike Ste 2
Knoxville, TN 37918-1990
Phone
(865) 687-8670
NPI assigned
Sep 17, 2024
Last updated
Sep 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Dr. Niral Patel, DMDNPI 1730798745
Title
Dentist
Phone
(865) 687-8670

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2944 Tazewell Pike Ste 2
Knoxville, TN 37918-1990

Mailing address

2944 Tazewell Pike Ste 2
Knoxville, TN 37918-1990
Phone (865) 687-8670

National Provider Directory

National Provider Directory

Locations

2944 Tazewell Pike
Ste 2
Knoxville, TN 37918
Phone (865) 687-8670

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1477380137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 TAZEWELL PIKE STE 2",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181990",
            "telephone_number": "865-687-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2944 TAZEWELL PIKE STE 2",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181990",
            "telephone_number": "865-687-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN CITY SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIRAL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "865-687-8670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "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 Sep 17, 2024; 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.