Milutin Drakulovic, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7739 Issued in AZ

Practice address

711 E Carefree Hwy
Ste 210
Phoenix, AZ 85085-0101

Phone

(623) 434-9868

Fax

(623) 434-9864

NPI assigned

Apr 30, 2008

Last updated

Mar 15, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• M Drakulovic DDS PC

  • Dental Clinic/Center
  • Phoenix, AZ
  • NPI 1174071922
  NPD (past) Authorized official
• Smile Creations, PLLC

  • Dental Clinic/Center
  • Phoenix, AZ
  • NPI 1992862643
  NPD (past)

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1063687077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E CAREFREE HWY",
            "address_2": "STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850101",
            "telephone_number": "623-434-9868",
            "fax_number": "623-434-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E CAREFREE HWY",
            "address_2": "STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850101",
            "telephone_number": "623-434-9868",
            "fax_number": "623-434-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKULOVIC",
        "first_name": "MILUTIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901016560",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "7739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendis Moore Drake, RN,NP
• Kristine Drake, PA-C
• Lauren Drake
• Nadia Drake
• Rebekah Lynn Drake
• Julie Drapkin
• Abate Drar
• Emily Marie Drascic, NP
• Draygontech Medical Transport, LLC
• Draygontech, LLC

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.