Matthew Graham McMillan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS-10247 Issued in IA

Practice address

206 3Rd Ave NE
Independence, IA 50644-1950

Phone

(319) 334-3342

NPI assigned

Jun 27, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kegler,Kegler & Arend,P.C.

  • General Practice Dentistry
  • Independence, IA
  • NPI 1649362286

  General Practice

  NPD (past)

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1376388702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 14TH ST NE",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506449264",
            "telephone_number": "319-327-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 3RD AVE NE",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506441950",
            "telephone_number": "319-334-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "MATTHEW",
        "middle_name": "GRAHAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-10247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricky R McCormick, D.O.
• Daniel Dean McElroy, LMSW
• Tara Lee McEnany, ARNP
• Nicole Lee McGreevy
• Allison McMartin, ARNP
• Kimberly Meader, MPT
• Medical Associates of Independence
• Mental Health Institute
• Mental Health Institute
• Mental Health Institute

• General Practice Dentistry in Independence, IA
• Providers in Independence, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.