NPIMap

Organization Active NPI

Tom J. Milius DDS, Pediatric Dentistry, PC

Doing business as Children's Dentistry of Lincoln

  • Pediatric Dentistry
  • Lincoln, NE
National Provider Identifier
1194090969
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TOM J. MILIUS DDS, PEDIATRIC DENTISTRY, PC
Doing business as
Children's Dentistry of Lincoln
Practice address
2621 S 70TH St
Ste. a
Lincoln, NE 68506-2911
Phone
(402) 483-4322
Fax
(402) 483-0439
NPI assigned
Mar 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Dr. Tom J Milius, DDS
Title
President
Phone
(402) 483-4322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X NE Primary

Addresses

Primary practice location

2621 S 70TH St
Ste. a
Lincoln, NE 68506-2911

Mailing address

2621 S 70TH St
Ste. a
Lincoln, NE 68506-2911
Phone (402) 483-4322

Other identifiers 1

IdentifierTypeStateIssuer
10025842400MedicaidNE

Other names 1

  • Children's Dentistry of Lincoln Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1194090969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 S 70TH ST",
            "address_2": "STE. A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062911",
            "telephone_number": "402-483-4322",
            "fax_number": "402-483-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 S 70TH ST",
            "address_2": "STE. A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062911",
            "telephone_number": "402-483-4322",
            "fax_number": "402-483-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM J. MILIUS DDS, PEDIATRIC DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "MILIUS",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-483-4322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025842400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dentistry of Lincoln",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.