Pablo Foncea, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D57813TN Issued in TN

Practice address

2719 Kingston Pike
Knoxville, TN 37919-4620

Phone

(865) 973-9899

Fax

(865) 524-0194

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pablo a. Foncea, DMD, PC

  • Dental Clinic/Center
  • Knoxville, TN
  • NPI 1194249698
  NPD Authorized official
• South Knox Dental

  • Dental Clinic/Center
  • Knoxville, TN
  • NPI 1689206179
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2020.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1891708863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194620",
            "telephone_number": "865-973-9899",
            "fax_number": "865-524-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194620",
            "telephone_number": "865-973-9899",
            "fax_number": "865-524-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONCEA",
        "first_name": "PABLO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "D57813TN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie R Foley, PTA
• Beth Folles
• Follett Features, LLC
• William S Folley, D.O.
• Barbara K Folsom, NURSE PRACTITIONER
• Emmaline M Fondren, RBT
• Lacy Fontenot, BCBA, LBA
• Logan Foody
• Foot & Ankle Institute of Knoxville, PLLC
• Foot and Ankle Clinic of East Tennessee

• All providers in Knoxville, TN
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.