Mark Alan Milani, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019020264 Issued in IL

Practice address

4777 E State St
11
Rockford, IL 61108-2273

Phone

(815) 399-3092

Fax

(815) 399-3092

NPI assigned

Jan 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in IL

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

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.

• Mark a. Milani D.D.S. PC

  • General Practice Dentistry
  • Rockford, IL
  • NPI 1356634208
  Authorized official Same address or phone

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083750749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 E STATE ST",
            "address_2": "11",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082273",
            "telephone_number": "815-399-3092",
            "fax_number": "815-399-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 E STATE ST",
            "address_2": "11",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082273",
            "telephone_number": "815-399-3092",
            "fax_number": "815-399-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILANI",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019020264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Surgical Care Center, LTD
• Courtney Lynn Miers, DDS
• Kenneth W Mihelich, MD
• Sara Ann Mijal, MD
• Jennifer Marie Mika, RBT-17-38602
• Olynda Barbara Mileon-Etuk, MPH, MS, PA-C
• Milestone Dental Clinic
• Milestone, Inc.
• Milestone, Inc.
• Milestone, Inc.

• Dentist in Rockford, IL
• Providers in Rockford, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.