Active NPI
Leo Albert Millette, M.D.
- Preventive Medicine/Occupational Environmental Medicine Physician
- Ridgefield, CT
National Provider Identifier
1407004955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 027966
- Practice address
- 185 Old Branchville Rd
Ridgefield, CT 06877-6013 - Phone
- (203) 438-3483
- Fax
- (860) 665-3644
- NPI assigned
- Sep 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 027966 | CT | Primary |
Addresses
Primary practice location
185 Old Branchville Rd
Ridgefield, CT 06877-6013
Mailing address
185 Old Branchville Rd
Ridgefield, CT 06877-6013
Phone (203) 438-3483
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027966 | CT | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1407004955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 OLD BRANCHVILLE RD",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068776013",
"telephone_number": "203-438-3483",
"fax_number": "860-665-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 OLD BRANCHVILLE RD",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068776013",
"telephone_number": "203-438-3483",
"fax_number": "860-665-3644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLETTE",
"first_name": "LEO",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-08",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "CT",
"license": "027966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgefield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.