David D Millen, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

004183 Issued in CT

Practice address

560 Main Street
Ansonia, CT 06401

Phone

(203) 732-0097

Fax

(888) 836-4899

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 23, 2016 through May 23, 2028

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• David D. Millen, D.M.D. PC

  • Periodontics
  • Ansonia, CT
  • NPI 1629005574
  NPD (past) Authorized official

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1083689640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 MAIN STREET",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "06401",
            "telephone_number": "203-732-0097",
            "fax_number": "888-836-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 MAIN STREET",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "06401",
            "telephone_number": "203-732-0097",
            "fax_number": "888-836-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLEN",
        "first_name": "DAVID",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CT",
            "license": "004183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Associates, LLC
• Emily R Medina, LCSW
• Marjorie Merzier, MSW
• Doreen Geralyn Metzler, LPC, LMFT
• Amy J Miklos, PA-C
• Elena Miller, LMSW
• Mindful Awareness, PLLC
• David Moll, M.D.
• Stephen J. Moses, M.D.
• Katherine Ellen Banker Murphy, PHARMD

• Periodontics in Ansonia, CT
• Providers in Ansonia, CT by specialty
• Periodontics in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.