Active NPI
Philip E Milam, DDS
- Dentist
- Harrison, AR
National Provider Identifier
1003910001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2818
- Practice address
- 520 N Pine St
Harrison, AR 72601-3442 - Phone
- (870) 741-3877
- Fax
- (870) 741-2406
- NPI assigned
- Sep 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2818 | AR | Primary |
Addresses
Primary practice location
520 N Pine St
Harrison, AR 72601-3442
Mailing address
520 N Pine St
Harrison, AR 72601-3442
Phone (870) 741-3877
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152666680 | Medicaid | AR | |
| 127337679 | Medicaid | AR |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2818 | AR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1003910001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 N PINE ST",
"city": "HARRISON",
"state": "AR",
"postal_code": "726013442",
"telephone_number": "870-741-3877",
"fax_number": "870-741-2406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 N PINE ST",
"city": "HARRISON",
"state": "AR",
"postal_code": "726013442",
"telephone_number": "870-741-3877",
"fax_number": "870-741-2406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILAM",
"first_name": "PHILIP",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "2818",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152666680",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127337679",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harrison, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.