NPIMap

Organization Active NPI

Milestone, Inc.

  • Dentist
  • Rockford, IL
National Provider Identifier
1689848798
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MILESTONE, INC.
Practice address
275 N Phelps Ave
Rockford, IL 61108-2434
Phone
(815) 484-8678
Fax
(815) 484-8680
NPI assigned
Apr 18, 2008
Organization subpart
Yes
Parent organization
MILESTONE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
William C Grahn
Title
President & C.E.O.
Phone
(815) 639-2817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

275 N Phelps Ave
Rockford, IL 61108-2434

Mailing address

4060 McFarland Rd
Loves Park, IL 61111-4402
Phone (815) 639-2805

Other names 1

  • Milestone Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Milestone Inc8 organizations share this tax ID, including this one
Part of
Milestone Inc

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

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": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1689848798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 MCFARLAND RD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114402",
            "telephone_number": "815-639-2805",
            "fax_number": "815-654-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N PHELPS AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082434",
            "telephone_number": "815-484-8678",
            "fax_number": "815-484-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILESTONE, INC.",
        "enumeration_date": "2008-04-18",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "GRAHN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT & C.E.O.",
        "authorized_official_telephone_number": "815-639-2817"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milestone Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.