Active NPI
Michael Edward Milewski, D.M.D
- Dentist
- Philadelphia, PA
National Provider Identifier
1295929164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS037254
- Practice address
- 6404 Roosevelt Blvd
Suite 4
Philadelphia, PA 19149-2943 - Phone
- (215) 743-3700
- NPI assigned
- Sep 4, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS037254 | PA | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS037254 | PA |
Addresses
Primary practice location
6404 Roosevelt Blvd
Suite 4
Philadelphia, PA 19149-2943
Mailing address
417 Shawmont Ave
Unit C
Philadelphia, PA 19128-4043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 24, 2019 through Jun 24, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cichetti & Delligatti Orthodontics, P.C. | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Ambler, PA
- NPI 1255507141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1295929164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 SHAWMONT AVE",
"address_2": "UNIT C",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191284043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6404 ROOSEVELT BLVD",
"address_2": "SUITE 4",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191492943",
"telephone_number": "215-743-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILEWSKI",
"first_name": "MICHAEL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-04",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS037254",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "PA",
"license": "DS037254",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.