Individual provider Active NPI

Desiree Elizabeth Milana, DDS

  • Dentist
  • Wantagh, NY
National Provider Identifier
1265936678
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
060658 Issued in NY
Practice address
1269 Wantagh Ave
Wantagh, NY 11793-2205
Phone
(516) 785-9065
Fax
(516) 785-7286
NPI assigned
Mar 20, 2018
Last updated
Aug 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 060658 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1269 Wantagh Ave
Wantagh, NY 11793-2205

Mailing address

1 Marlin Dr
Copiague, NY 11726-5308
Phone (631) 860-3580

Other practice location 1

24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 982-5610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20180712000867 CT Order and Referring Only - DentistPractitioner - Dentist 5698021277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
060658NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1265936678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MARLIN DR",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117265308",
            "telephone_number": "631-860-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932205",
            "telephone_number": "516-785-9065",
            "fax_number": "516-785-7286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Hospital Ave",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068106099",
            "country_code": "US",
            "telephone_number": "203-982-5610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILANA",
        "first_name": "DESIREE",
        "middle_name": "ELIZABETH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "060658",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

Verify at the official NPI Registry.