Active NPI
Jonathan Vinea, DDS
- Dentist
- Knoxville, TN
National Provider Identifier
1629613930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11174
- Practice address
- 2020 Town Center Blvd
Knoxville, TN 37922-6677 - Phone
- (865) 685-4106
- NPI assigned
- Nov 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11174 | TN | Primary |
Addresses
Primary practice location
2020 Town Center Blvd
Knoxville, TN 37922-6677
Mailing address
2316 Yellow Birch Way Apt 105
Knoxville, TN 37931-2589
Phone (917) 701-3065
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573430400000",
"number": "1629613930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2316 YELLOW BIRCH WAY APT 105",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379312589",
"telephone_number": "917-701-3065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 TOWN CENTER BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379226677",
"telephone_number": "865-685-4106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINEA",
"first_name": "JONATHAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-11",
"last_updated": "2019-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "11174",
"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 Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.