Benjamin Vilensky, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12641 Issued in TN

Practice address

1053 Hunters Xing
Alcoa, TN 37701-1854

Phone

(865) 223-6705

NPI assigned

Sep 18, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maryville Modern Dentistry, PC

  • Dentist
  • Alcoa, TN
  • NPI 1679056683
  NPD (past)

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1497582944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 ENTERPRISE WAY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378018517",
            "telephone_number": "847-224-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 HUNTERS XING",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377011854",
            "telephone_number": "865-223-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILENSKY",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "12641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University Health System, Inc.
• University Health System. Inc
• Vetema Gloria Valentine, L.P.N.
• Katrina Michelle Vanvranken, C.N.A.
• Kevin Kenneth Veverka, M.D.
• Davis M Vincent, PHARMD
• William D Vines, MD
• Jheri B Volner, RN
• Tiffany Waddell
• Wal-Mart Stores East LP

• Dentist in Alcoa, TN
• Providers in Alcoa, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.