Individual provider Active NPI

Justin Robert Vilaseca, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lenoir City, TN
National Provider Identifier
1548962772
Registry record updated Jul 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
993 Issued in TN
Practice address
974 Highway 321 N
Lenoir City, TN 37771-2175
Phone
(865) 986-2700
Fax
(865) 986-8096
NPI assigned
Mar 21, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 993 TN Primary

Addresses

Primary practice location

974 Highway 321 N
Lenoir City, TN 37771-2175

Mailing address

2086 Casablanca Way
Knoxville, TN 37932-3390
Phone (786) 208-8615

Other practice location 1

1124 Fox Meadows Blvd
Sevierville, TN 37862-6927
Phone (865) 986-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783123200000",
    "number": "1548962772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2086 CASABLANCA WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323390",
            "telephone_number": "786-208-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 HIGHWAY 321 N",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377712175",
            "telephone_number": "865-986-2700",
            "fax_number": "865-986-8096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1124 Fox Meadows Blvd",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378626927",
            "country_code": "US",
            "telephone_number": "865-986-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILASECA",
        "first_name": "JUSTIN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-21",
        "last_updated": "2026-07-04",
        "certification_date": "2026-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir City, TN

Sources for this page

Verify at the official NPI Registry.