Organization Active NPI

Gary D Milton DDS

  • General Practice Dentistry
  • Flagstaff, AZ
National Provider Identifier
1073689774
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3861 Issued in AZ
Legal business name
GARY D MILTON DDS
Practice address
710 N Beaver St
BLDG 2 1
Flagstaff, AZ 86001-3144
Phone
(928) 774-0131
Fax
(928) 226-0560
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gary Dennis Milton, DDS PCNPI 1962578666
Title
Dentist President
Phone
(928) 774-0131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3861 AZ Primary

Addresses

Primary practice location

710 N Beaver St
BLDG 2 1
Flagstaff, AZ 86001-3144

Mailing address

710 N Beaver St
BLDG 2 1
Flagstaff, AZ 86001-3144
Phone (928) 774-0131

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073689774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N BEAVER ST",
            "address_2": "BLDG 2 1",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013144",
            "telephone_number": "928-774-0131",
            "fax_number": "928-226-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N BEAVER ST",
            "address_2": "BLDG 2 1",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013144",
            "telephone_number": "928-774-0131",
            "fax_number": "928-226-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY D MILTON DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILTON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "928-774-0131",
        "authorized_official_credential": "DDS PC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.