Active NPI
Quanta Milledge-Benjamin
- Other Technician
- Oak Park, MI
National Provider Identifier
1144678046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 23541 Kenosha St
Oak Park, MI 48237-2473 - Phone
- (313) 478-6220
- NPI assigned
- Jun 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
23541 Kenosha St
Oak Park, MI 48237-2473
Mailing address
23541 Kenosha St
Oak Park, MI 48237-2473
Phone (313) 478-6220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1144678046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23541 KENOSHA ST",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482372473",
"telephone_number": "313-478-6220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23541 KENOSHA ST",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482372473",
"telephone_number": "313-478-6220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLEDGE-BENJAMIN",
"first_name": "QUANTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-01",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, MI
- Michigan Ambulatory Surgical Center, LLC (Specialty Surgical Center)
- Michigan Chiropractic and Medical Massage Clinic, LLC
- Michigan Chiropractic and Medical Massage Therapy, LLC
- Michigan Chiropractic Pain Centers PLLC
- Michigan First Rehab
- Carolyn Miller
- Jacob Allen Miller
- Marisa Mills, LLP
- Mindful Consulting Services
- Madison Love Mirabitur I
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.