Individual provider Active NPI

Alicia Margarita Millan-Morales, D.M.D.

  • Dentist
  • Bradenton, FL
National Provider Identifier
1003266719
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 21913 Issued in FL
Practice address
4868 Cortez Rd W
Bradenton, FL 34210-2803
Phone
(941) 795-0877
Fax
(941) 761-6177
NPI assigned
Jun 14, 2016
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 21913 FL Primary

Addresses

Primary practice location

4868 Cortez Rd W
Bradenton, FL 34210-2803

Mailing address

6222 US Highway 301 N
Ellenton, FL 34222-3065
Phone (941) 729-6636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN 21913FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Froug Ellenton Dental Center Dentist Past Accepting new patients
Jay R. Froug, D.M.D., P.a. D/B/a Pinebrook Dental Center Past Accepting new patients

Networks

  • FL HMO D-SNP
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • Freedom Health HMO Network
  • FL HMO C-SNP

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1003266719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 US HIGHWAY 301 N",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342223065",
            "telephone_number": "941-729-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4868 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102803",
            "telephone_number": "941-795-0877",
            "fax_number": "941-761-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAN-MORALES",
        "first_name": "ALICIA",
        "middle_name": "MARGARITA",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 21913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.