Organization Active NPI

Oak Ridge Smiles Dentistry, PC

Doing business as Oak Ridge Smiles Dentistry

  • Dentist
  • Oak Ridge, TN
National Provider Identifier
1710475660
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
OAK RIDGE SMILES DENTISTRY, PC
Doing business as
Oak Ridge Smiles Dentistry
Practice address
377 S. Illinois Ave.
Oak Ridge, TN 37830
Phone
(865) 272-2633
NPI assigned
Apr 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Dr. Jonathan Vinea, DDS
Title
Owner/DDS
Phone
(865) 272-2633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

377 S. Illinois Ave.
Oak Ridge, TN 37830

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8280

Other names 1

  • Oak Ridge Smiles Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

377 S Illinois Ave
Oak Ridge, TN 37830
Phone (615) 429-1120

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1710475660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 S. ILLINOIS AVE.",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "37830",
            "telephone_number": "865-272-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK RIDGE SMILES DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "VINEA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "865-272-2633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Ridge Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.