Organization Active NPI

West Knox Dentistry

  • Dentist
  • Knoxville, TN
National Provider Identifier
1801823596
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8303 Issued in TN
Legal business name
WEST KNOX DENTISTRY
Practice address
215 Center Park Drive
Ste 500
Knoxville, TN 37922-2100
Phone
(865) 966-0500
Fax
(865) 966-0502
NPI assigned
Jun 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph Warren Brakovec II, DDS
Title
Dentist Owner
Phone
(865) 966-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8303 TN Primary

Addresses

Primary practice location

215 Center Park Drive
Ste 500
Knoxville, TN 37922-2100

Mailing address

215 Center Park Drive
Ste 500
Knoxville, TN 37922-2100
Phone (865) 966-0500

Other names 1

  • Joseph W Brakovec DDS Other name

National Provider Directory

National Provider Directory

Locations

215 Center Park Dr
Ste 500
Knoxville, TN 37922
Phone (865) 966-0500

Practitioners & affiliated clinicians

Practitioners 1

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": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801823596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 CENTER PARK DRIVE",
            "address_2": "STE 500",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222100",
            "telephone_number": "865-966-0500",
            "fax_number": "865-966-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 CENTER PARK DRIVE",
            "address_2": "STE 500",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222100",
            "telephone_number": "865-966-0500",
            "fax_number": "865-966-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST KNOX DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAKOVEC",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "865-966-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "8303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph W Brakovec DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.