Organization Active NPI

Milan Dental Center, L.L.C.

  • Dentist
  • Milan, IL
National Provider Identifier
1184883969
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019025885 Issued in IL
Legal business name
MILAN DENTAL CENTER, L.L.C.
Practice address
212 4TH St W
Milan, IL 61264-2418
Phone
(309) 787-2710
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Dr. Regina Marie Nonnenmann, D.D.S.
Title
Member
Phone
(309) 787-2710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019025885 IL Primary

Addresses

Primary practice location

212 4TH St W
Milan, IL 61264-2418

Mailing address

212 4TH St W
Milan, IL 61264-2418
Phone (309) 787-2710

National Provider Directory

National Provider Directory

Locations

212 4th St W
Milan, IL 61264
Phone (309) 787-2710

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1184883969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 4TH ST W",
            "city": "MILAN",
            "state": "IL",
            "postal_code": "612642418",
            "telephone_number": "309-787-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 4TH ST W",
            "city": "MILAN",
            "state": "IL",
            "postal_code": "612642418",
            "telephone_number": "309-787-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILAN DENTAL CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "NONNENMANN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "309-787-2710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.