Active NPI
Anton F. Milavec, DDS
- Dentist
- Las Cruces, NM
National Provider Identifier
1659488484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1666
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G1261 | Medicaid | NM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1666 | NM | MD | Physical 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.