Royce Darrin Milgrim, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

D012554 Issued in AZ

Practice address

3765 Crossings Dr Ste a
Prescott, AZ 86305-7121

Phone

(928) 445-8503

NPI assigned

Jun 11, 2025

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 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 and National Provider Directory roles.

• Prescott Modern Dentistry, LLP

  • General Practice Dentistry
  • Irvine, CA
  • NPI 1346530417
  NPD (past)

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1114812849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3849",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863023849",
            "telephone_number": "575-200-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3765 CROSSINGS DR STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057121",
            "telephone_number": "928-445-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILGRIM",
        "first_name": "ROYCE",
        "middle_name": "DARRIN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-11",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D012554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Mikrut, PT
• Jean Ann Mikrut, REGISTERED DIETITIAN
• Mary Jane Milbyer, R.D.H.
• Jerad Martel Miles, RD
• Starla Jo Miles, LMSW
• Michael John Milinovich, R.PH
• Miller Chiropractic
• Autumn Skye Miller, LMSW
• Ciara Miller
• Katherine Miller, MSW

• Dentist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.