Active NPI
Michael Louis Milford, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Dodge City, KS
National Provider Identifier
1003910092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 4484
- Practice address
- 200 Ross Blvd
Dodge City, KS 67801 - Phone
- (620) 225-3131
- Fax
- (620) 225-3175
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 4484 | KS | Primary |
Addresses
Primary practice location
200 Ross Blvd
Dodge City, KS 67801
Mailing address
200 Ross Blvd
Dodge City, KS 67801
Phone (620) 225-3131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008872 | Other | KS | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 4484 | KS | MD | Oral and Maxillofacial Surgery (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": "1183852800000",
"number": "1003910092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 ROSS BLVD",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "67801",
"telephone_number": "620-225-3131",
"fax_number": "620-225-3175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ROSS BLVD",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "67801",
"telephone_number": "620-225-3131",
"fax_number": "620-225-3175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILFORD",
"first_name": "MICHAEL",
"middle_name": "LOUIS",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "KS",
"license": "4484",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "008872",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dodge City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.