Individual provider Active NPI

Anton F. Milavec, DDS

  • Dentist
  • Las Cruces, NM
National Provider Identifier
1659488484
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1666 Issued in NM
Practice address
2980 N Main St
Las Cruces, NM 88001-1152
Phone
(505) 524-3722
Fax
(505) 524-9826
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1666 NM Primary

Addresses

Primary practice location

2980 N Main St
Las Cruces, NM 88001-1152

Mailing address

2980 N Main St
Las Cruces, NM 88001-1152
Phone (505) 524-3722

Other identifiers 1

IdentifierTypeStateIssuer
G1261MedicaidNM

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
1666NMMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1659488484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N MAIN ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011152",
            "telephone_number": "505-524-3722",
            "fax_number": "505-524-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 N MAIN ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011152",
            "telephone_number": "505-524-3722",
            "fax_number": "505-524-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAVEC",
        "first_name": "ANTON",
        "middle_name": "F.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "1666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G1261",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.