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

Last updated

Sep 18, 2024By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maryville Modern Dentistry, PC

  dba Maryville Modern Dentistry

  • 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. (Cancer Services - Blount County)
• University Health System. Inc (U.T. Family Physicians Alcoa)
• 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 (Walmart Pharmacy 10-0672)

• 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.