Organization Active NPI

Winn Smiles North Chattanooga, PLLC

  • Dentist
  • Chattanooga, TN
National Provider Identifier
1740868801
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WINN SMILES NORTH CHATTANOOGA, PLLC
Practice address
1312 Hanover St
Chattanooga, TN 37405-4353
Phone
(423) 266-1714
Fax
(423) 265-6863
NPI assigned
Mar 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Mrs. Ann Marie Muller
Title
Administrative Director
Phone
(423) 310-7424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1312 Hanover St
Chattanooga, TN 37405-4353

Mailing address

1312 Hanover St
Chattanooga, TN 37405-4353
Phone (423) 266-1714

Other names 1

  • Winn Smiles North Chattanooga, PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1312 Hanover St
Chattanooga, TN 37405
Phone (423) 266-1714

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1740868801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 HANOVER ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374054353",
            "telephone_number": "423-266-1714",
            "fax_number": "423-265-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 HANOVER ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374054353",
            "telephone_number": "423-266-1714",
            "fax_number": "423-265-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINN SMILES NORTH CHATTANOOGA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "MULLER",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "423-310-7424",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winn Smiles North Chattanooga, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.