Marble City Dentistry & Facial Esthetics

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MARBLE CITY DENTISTRY & FACIAL ESTHETICS

Practice address

800 S Gay St Ste P325
Knoxville, TN 37929-9749

Phone

(865) 888-8999

Fax

(865) 200-8000

NPI assigned

Feb 22, 2021

Organization subpart

No

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

Authorized official

Name

Mindy Hazelwood

Title

Office Manager

Phone

(865) 888-8999

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Marble City Dentistry Facial Esthetics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pippin Dental Care

  • Dentist
  • Sevierville, TN
  • NPI 1144802851
  NPD tax ID

Locations

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1659965531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S GAY ST STE P325",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379299749",
            "telephone_number": "865-888-8999",
            "fax_number": "865-200-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S GAY ST STE P325",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379299749",
            "telephone_number": "865-888-8999",
            "fax_number": "865-200-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBLE CITY DENTISTRY & FACIAL ESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "HAZELWOOD",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "865-888-8999"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://app.protectedtrust.com/vyneconnect",
            "affiliation": "N",
            "endpointDescription": "Vyne Dental/Vyne Connect",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "800 S Gay St Ste P325",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379299749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karin Mae Mappes
• Alexandria Marascia, RBT
• Elcee Joie Octaviano Maraya, PT, DPT
• Marble City Apothecary
• Marble City Chiropractic
• Marble City Family Chiropractic LLC
• Marble City Healthcare, Inc.
• Marble City Medical PLLC
• Judy A Marciel, P.N.P.
• Katie Long Marcum, M.S. CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.