James Richard Millman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019017034 Issued in IL

Practice address

609 22ND St
Moline, IL 61265-1450

Phone

(309) 762-2726

Fax

(309) 764-8236

NPI assigned

Nov 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riverside Dentistry, LLC

  • General Practice Dentistry
  • Moline, IL
  • NPI 1427349216
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629141445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 22ND ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612651450",
            "telephone_number": "309-762-2726",
            "fax_number": "309-764-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 22ND ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612651450",
            "telephone_number": "309-762-2726",
            "fax_number": "309-764-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLMAN",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019017034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynne Miller
• Kelli Miller, APN
• Patricia Ann Miller, LCPC, LMHC, CCMHC
• Patricia Marie Miller, D.C
• Kaitlyn Milligan, RDN. LDN, CLS
• Hayley Mills, DNP, AGACNP-BC
• Nathaniel T Mills, ARNP
• Una Clare Miniter, M.D.
• Kiril Mishev
• Michelle Nicole Mitchell, MHP

• General Practice Dentistry in Moline, IL
• Providers in Moline, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.