Individual provider Active NPI

Jamie Lynn Milos, D.D.S.

  • General Practice Dentistry
  • Rockford, IL
National Provider Identifier
1417972811
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019021151 Issued in IL
Practice address
129 Phelps Ave Ste 307
Rockford, IL 61108-2447
Phone
(815) 315-4200
Fax
(816) 315-4282
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019021151 IL Primary

Addresses

Primary practice location

129 Phelps Ave Ste 307
Rockford, IL 61108-2447

Mailing address

129 Phelps Ave Ste 307
Rockford, IL 61108-2447
Phone (815) 315-4200

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

LicenseStateTypeSpecialty
019021151ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Milos Dental Care Current Accepting new patients

Locations

129 Phelps Ave
Ste 307
Rockford, IL 61108
Phone (815) 315-4200

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1417972811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 PHELPS AVE STE 307",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082447",
            "telephone_number": "815-315-4200",
            "fax_number": "816-315-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 PHELPS AVE STE 307",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082447",
            "telephone_number": "815-315-4200",
            "fax_number": "816-315-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILOS",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019021151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.