NPIMap

Organization Active NPI

Winn Smiles Shallowford, PLLC

  • Dentist
  • Chattanooga, TN
National Provider Identifier
1821768789
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WINN SMILES SHALLOWFORD, PLLC
Practice address
2217 Olan Mills Dr
Chattanooga, TN 37421-1891
Phone
(423) 894-5607
Fax
(423) 894-7790
NPI assigned
Sep 14, 2021
Last updated
Sep 16, 2021By the provider in NPPES
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
Ann Marie Muller
Title
Administrative
Phone
(423) 310-7424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

2217 Olan Mills Dr
Chattanooga, TN 37421-1891

Mailing address

2217 Olan Mills Dr
Chattanooga, TN 37421-1891
Phone (423) 894-5607

Other names 1

  • Winn Smiles Shallowford Former legal business name

National Provider Directory

National Provider Directory

Locations

2217 Olan Mills Dr
Chattanooga, TN 37421
Phone (423) 240-4319

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1821768789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 OLAN MILLS DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211891",
            "telephone_number": "423-894-5607",
            "fax_number": "423-894-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 OLAN MILLS DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211891",
            "telephone_number": "423-894-5607",
            "fax_number": "423-894-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINN SMILES SHALLOWFORD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "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",
        "authorized_official_telephone_number": "423-310-7424"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winn Smiles Shallowford",
            "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.