Vicki M McMillan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401008728 Issued in VA

Practice address

300 E Little Creek Rd
Norfolk, VA 23505-2603

Phone

(757) 583-1889

Fax

(757) 588-1724

NPI assigned

Aug 12, 2006

Sex

Female

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 VA

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.

• Dental Professionals of Virginia, P.C

  • General Practice Dentistry
  • Chesapeake, VA
  • NPI 1700543741
  NPD (past)
• Dental Professionals of Virginia, P.C.

  • General Practice Dentistry
  • Suffolk, VA
  • NPI 1053077453
  NPD (past)
• Dental Professionals of Virginia, P.C.

  • General Practice Dentistry
  • Norfolk, VA
  • NPI 1790442739
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1124030119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MEADOW VIEW BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353495",
            "telephone_number": "757-673-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E LITTLE CREEK RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235052603",
            "telephone_number": "757-583-1889",
            "fax_number": "757-588-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "VICKI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa M McLeod, M.D.
• Hannah Rose McManus
• Jennifer P McMeekin, ACNP
• Alisa Patrice McMillan, APRN
• Brooke Ashley McMillan, NP
• Joseph Scott McMonagle, M.D.
• James Michael McMullen, PA-C
• Jennifer McMurtrie
• Colin Thomas McNamara, MD
• Vanessa McNeil

• General Practice Dentistry in Norfolk, VA
• Providers in Norfolk, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.