Organization Active NPI

McMillen Orthodontics LTD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Johnston, RI
National Provider Identifier
1063433209
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DEN0149 Issued in RI
Legal business name
MCMILLEN ORTHODONTICS LTD
Practice address
1226 Hartford Ave
Suite 101
Johnston, RI 02919-7100
Phone
(401) 331-7171
Fax
(401) 331-2755
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Authorized official

Name
Dr. Frederick H McMillen, DDS
Title
Owner
Phone
(401) 331-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DEN0149 RI Primary

Addresses

Primary practice location

1226 Hartford Ave
Suite 101
Johnston, RI 02919-7100

Mailing address

1226 Hartford Ave
Suite 101
Johnston, RI 02919-7100
Phone (401) 331-7171

National Provider Directory

National Provider Directory

Locations

1226 Hartford Ave
Ste 101
Johnston, RI 02919
Phone (401) 331-7171

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1063433209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 HARTFORD AVE",
            "address_2": "SUITE 101",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029197100",
            "telephone_number": "401-331-7171",
            "fax_number": "401-331-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 HARTFORD AVE",
            "address_2": "SUITE 101",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029197100",
            "telephone_number": "401-331-7171",
            "fax_number": "401-331-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMILLEN ORTHODONTICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "MCMILLEN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-331-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "RI",
            "license": "DEN0149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.