Active NPI
Millard N Radford, DDS
- Dentist
- Rocky Mount, VA
National Provider Identifier
1295840684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401 006701
- Practice address
- 740 Old Franklin Turnpike
Suite 3
Rocky Mount, VA 24151 - Phone
- (540) 489-8190
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401 006701 | VA | Primary |
Addresses
Primary practice location
740 Old Franklin Turnpike
Suite 3
Rocky Mount, VA 24151
Mailing address
740 Old Franklin Turnpike
Suite 3
Rocky Mount, VA 24151
Phone (540) 489-8190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14794 | Other | DORAL DENTAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401 006701 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295840684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 OLD FRANKLIN TURNPIKE",
"address_2": "SUITE 3",
"city": "ROCKY MOUNT",
"state": "VA",
"postal_code": "24151",
"telephone_number": "540-489-8190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 OLD FRANKLIN TURNPIKE",
"address_2": "SUITE 3",
"city": "ROCKY MOUNT",
"state": "VA",
"postal_code": "24151",
"telephone_number": "540-489-8190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADFORD",
"first_name": "MILLARD",
"middle_name": "N",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401 006701",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL DENTAL",
"identifier": "14794",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.