Organization Active NPI

Knoxville Cosmetic Dentistry PLLC

  • Clinic/Center
  • Knoxville, TN
National Provider Identifier
1821747346
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KNOXVILLE COSMETIC DENTISTRY PLLC
Practice address
10642 Deerbrook Dr
Knoxville, TN 37922-1941
Phone
(865) 966-4035
Fax
(865) 675-4719
NPI assigned
Mar 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Authorized official

Name
Kairav Vyas, DDS
Title
Dentist
Phone
(865) 966-4035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

10642 Deerbrook Dr
Knoxville, TN 37922-1941

Mailing address

10642 Deerbrook Dr
Knoxville, TN 37922-1941
Phone (865) 966-4035

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL network Direct

National Provider Directory

National Provider Directory

Locations

10642 Deerbrook Dr
Knoxville, TN 37922
Phone (865) 966-4035

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": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1821747346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10642 DEERBROOK DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221941",
            "telephone_number": "865-966-4035",
            "fax_number": "865-966-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10642 DEERBROOK DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221941",
            "telephone_number": "865-966-4035",
            "fax_number": "865-675-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE COSMETIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "VYAS",
        "authorized_official_first_name": "KAIRAV",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "865-966-4035",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "network",
            "affiliation": "N",
            "endpointDescription": "network",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10642 Deerbrook Dr",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379221941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 13, 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.