Active NPI
Milan Dental Center, L.L.C.
- Dentist
- Milan, IL
National Provider Identifier
1184883969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019025885
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.