Individual provider Active NPI

Jadah Nohea Milam-Morrison, DH

  • Dental Hygienist
  • Phoenix, AZ
National Provider Identifier
1487012753
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H008074 Issued in AZ
Practice address
4041 N Central Ave
BLDG. C
Phoenix, AZ 85012-3330
Phone
(602) 279-5262
NPI assigned
Feb 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X H008074 AZ Primary
Dental Hygienist 124Q00000X DH00006154 WA

Addresses

Primary practice location

4041 N Central Ave
BLDG. C
Phoenix, AZ 85012-3330

Mailing address

19336 W Jomax Rd
Wittmann, AZ 85361-9743
Phone (602) 279-5262

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
H008074AZMDDental Hygienist
DH00006154WAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1487012753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19336 W JOMAX RD",
            "city": "WITTMANN",
            "state": "AZ",
            "postal_code": "853619743",
            "telephone_number": "602-279-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 N CENTRAL AVE",
            "address_2": "BLDG. C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123330",
            "telephone_number": "602-279-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAM-MORRISON",
        "first_name": "JADAH",
        "middle_name": "NOHEA",
        "credential": "DH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AZ",
            "license": "H008074",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH00006154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.