Individual provider Active NPI

John A Milza Jr., D.D.S.

  • General Practice Dentistry
  • Glens Falls, NY
National Provider Identifier
1073537833
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046929 Issued in NY
Practice address
35 Quade St
Glens Falls, NY 12801-2706
Phone
(518) 792-9938
Fax
(518) 792-3163
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 046929 NY Primary

Addresses

Primary practice location

35 Quade St
Glens Falls, NY 12801-2706

Mailing address

35 Quade St
Glens Falls, NY 12801-2706
Phone (518) 792-9938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20160104002126 NY Order and Referring Only - DentistPractitioner - Dentist 5597067827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046929NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073537833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 QUADE ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012706",
            "telephone_number": "518-792-9938",
            "fax_number": "518-792-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 QUADE ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012706",
            "telephone_number": "518-792-9938",
            "fax_number": "518-792-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILZA",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.