Individual provider Active NPI

M. Drew Millington, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Altoona, WI
National Provider Identifier
1205908936
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
4680015 Issued in WI
Practice address
788 Oakleaf Way
Altoona, WI 54720
Phone
(715) 834-8414
Fax
(715) 834-3557
NPI assigned
Nov 15, 2006
Last updated
Jul 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 4680015 WI Primary

Addresses

Primary practice location

788 Oakleaf Way
Altoona, WI 54720

Mailing address

1120 Oak Ridge Dr
Eau Claire, WI 54701-6133
Phone (715) 834-8414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20120124000949 WI Practitioner - Oral Surgery 2264609759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of Oklahoma College of Dentistry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oral and Maxillofacial Surgery Asso of Eau Claire SCGroup PAC ID 1456355643, 3 clinicians

Practice addresses (Care Compare)

788 Oakleaf Way
Altoona, WI 54720-2265
Phone (715) 834-8414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4680015WIMDOral and Maxillofacial Surgery (Dentist)
4680WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oral and Maxillofacial Surgery Asso of Eau Claire SC Oral and Maxillofacial Surgery CurrentSince Jul 9, 1995 Accepting new patients
Advanced Endodontics, SC CurrentSince Jul 9, 1995 Accepting new patients

Locations

788 Oakleaf Way
Altoona, WI 54720
Phone (715) 834-8414

1120 Oak Ridge Dr
Eau Claire, WI 54701
Phone (715) 834-8414

821 Bear Paw Ave
Rice Lake, WI 54868
Phone (715) 834-8414

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1205908936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 OAK RIDGE DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016133",
            "telephone_number": "715-834-8414",
            "fax_number": "715-834-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 OAKLEAF WAY",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "54720",
            "telephone_number": "715-834-8414",
            "fax_number": "715-834-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLINGTON",
        "first_name": "M.",
        "middle_name": "DREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "4680015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, WI

Sources for this page

Verify at the official NPI Registry.