NPIMap

Organization Active NPI

Scott G Milo DMD PA

  • Pediatric Dentistry
  • Merritt Island, FL
National Provider Identifier
1487792800
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN11127 Issued in FL
Legal business name
SCOTT G MILO DMD PA
Practice address
2405 North Courtenay Parkway
#105
Merritt Island, FL 32953-4050
Phone
(321) 453-2450
Fax
(321) 453-2450
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Dr. Scott G Milo, DDSNPI 1861668311
Title
Pediatric Dentist Owner
Phone
(321) 453-2450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DN11127 FL Primary

Addresses

Primary practice location

2405 North Courtenay Parkway
#105
Merritt Island, FL 32953-4050

Mailing address

2405 North Courtenay Parkway
#105
Merritt Island, FL 32953-4050
Phone (321) 453-2450

Other names 1

  • Brevard Pediatric Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

2405 N Courtenay Pkwy
Ste 105
Merritt Island, FL 32953
Phone (321) 453-2450

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1487792800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 NORTH COURTENAY PARKWAY",
            "address_2": "#105",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534050",
            "telephone_number": "321-453-2450",
            "fax_number": "321-453-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 NORTH COURTENAY PARKWAY",
            "address_2": "#105",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534050",
            "telephone_number": "321-453-2450",
            "fax_number": "321-453-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT G MILO DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "MILO",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST OWNER",
        "authorized_official_telephone_number": "321-453-2450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN11127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brevard Pediatric Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.