Organization Active NPI

David D. Millen, D.M.D. PC

  • Periodontics
  • Ansonia, CT
National Provider Identifier
1629005574
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
004183 Issued in CT
Legal business name
DAVID D. MILLEN, D.M.D. PC
Practice address
560 Main Street
Ansonia, CT 06401
Phone
(203) 562-9700
Fax
(203) 782-6285
NPI assigned
Jun 27, 2006
Last updated
Jun 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Authorized official

Name
Dr. David D Millen, D.M.DNPI 1083689640
Title
President
Phone
(203) 732-0097

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
Periodontics 1223P0300X 004183 CT Primary

Addresses

Primary practice location

560 Main Street
Ansonia, CT 06401

Mailing address

560 Main Street
Ansonia, CT 06401
Phone (203) 562-9700

National Provider Directory

National Provider Directory

Locations

560 Main St
Ansonia, CT 06401
Phone (203) 732-0097

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1629005574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 MAIN STREET",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "06401",
            "telephone_number": "203-562-9700",
            "fax_number": "203-782-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 MAIN STREET",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "06401",
            "telephone_number": "203-562-9700",
            "fax_number": "203-782-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID D. MILLEN, D.M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "MILLEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-732-0097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CT",
            "license": "004183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ansonia, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.