Active NPI
Jennifer Milot, DDS
- Pediatric Dentistry
- Arvada, CO
National Provider Identifier
1467657379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 9409
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69180075 | Medicaid | CO |
Other names 1
- Jenna Milot
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161109002236 | CO | Order and Referring Only - Dentist | 5698054948 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9409 | CO | MD | Pediatric Dentist |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.