Individual provider Active NPI

Jennifer Milot, DDS

  • Pediatric Dentistry
  • Arvada, CO
National Provider Identifier
1467657379
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
9409 Issued in CO
Practice address
15530 W 64TH Ave
Suite H
Arvada, CO 80007-6874
Phone
(303) 422-3742
Fax
(303) 422-5811
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 9409 CO Primary

Addresses

Primary practice location

15530 W 64TH Ave
Suite H
Arvada, CO 80007-6874

Mailing address

15530 W 64TH Ave
Suite H
Arvada, CO 80007-6874
Phone (303) 422-3742

Other identifiers 1

IdentifierTypeStateIssuer
69180075MedicaidCO

Other names 1

  • Jenna Milot Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161109002236 CO Order and Referring Only - DentistPractitioner - Dentist 5698054948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9409COMDPediatric Dentist

Interoperability endpoints

  • Direct secure messaging: jenna.milot@sfhc.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1467657379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15530 W 64TH AVE",
            "address_2": "SUITE H",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800076874",
            "telephone_number": "303-422-3742",
            "fax_number": "303-422-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15530 W 64TH AVE",
            "address_2": "SUITE H",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800076874",
            "telephone_number": "303-422-3742",
            "fax_number": "303-422-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILOT",
        "first_name": "JENNIFER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "9409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69180075",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "MILOT",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.