Larry J. Millikan, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

106267 Issued in CO

Practice address

1631 Wetzel Ave BLDG 815
Ft Carson, CO 80913-4095

Phone

(719) 526-6697

NPI assigned

Jan 4, 2007

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

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457408429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 ARROWHEAD DR",
            "city": "FLORISSANT",
            "state": "CO",
            "postal_code": "808168965",
            "telephone_number": "719-689-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 WETZEL AVE BLDG 815",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "809134095",
            "telephone_number": "719-526-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIKAN",
        "first_name": "LARRY",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "106267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Leigh Milanes
• Adam Bernard Pierson Milano, LSW
• Kim Oberist Milano, RD
• Jaiden Page Miles, DENTAL ASSISTANT
• Jonathan Miller, M.D.
• Heather Minnick
• Leah Hanson Misialek, PSY.D
• April Elaine Mitchell, STERILIZATION TECH
• Dallin Mitchell, D.O.
• Dean Mitchell, PHARMD

• Dentist in Ft Carson, CO
• Providers in Ft Carson, CO by specialty
• Dentist in Colorado

• 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.

Verify at the official NPI Registry.