NPIMap

Organization Active NPI

Nwaloshin Dental PLLC

Doing business as Kingston Dental

  • General Practice Dentistry
  • Kingston, TN
National Provider Identifier
1831688258
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NWALOSHIN DENTAL PLLC
Doing business as
Kingston Dental
Practice address
1212 N Kentucky St
Kingston, TN 37763-2328
Phone
(865) 717-3586
Fax
(865) 717-3581
NPI assigned
May 2, 2018
Last updated
May 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Authorized official

Name
Brittnie Vorwerck
Title
Manager
Phone
(865) 717-3586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1212 N Kentucky St
Kingston, TN 37763-2328

Mailing address

1203 Old N Kentucky St
Kingston, TN 37763-2358
Phone (865) 717-3586

Other names 1

  • KINGSTON DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

1203 Old N Kentucky St
Kingston, TN 37763

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": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1831688258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 OLD N KENTUCKY ST",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377632358",
            "telephone_number": "865-717-3586",
            "fax_number": "865-717-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N KENTUCKY ST",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377632328",
            "telephone_number": "865-717-3586",
            "fax_number": "865-717-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWALOSHIN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "VORWERCK",
        "authorized_official_first_name": "BRITTNIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "865-717-3586"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINGSTON DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingston, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.