Ian Millerschultz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4921 Issued in AR

Practice address

104 S Walton Blvd
Bentonville, AR 72712-5747

Phone

(479) 273-3757

NPI assigned

Mar 10, 2026

Last updated

May 26, 2026By 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.

• Roberts and Criswell DDS PA

  dba Walton Blvd Dental

  • General Practice Dentistry
  • Bentonville, AR
  • NPI 1114326832
  NPD (past)
• Walton Dental, PLLC

  dba Walton Blvd. Dental

  • General Practice Dentistry
  • Bentonville, AR
  • NPI 1427519669
  NPD (past)

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1699621623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 CRYSTAL CLEAR LN",
            "city": "CAVE SPRINGS",
            "state": "AR",
            "postal_code": "727188838",
            "telephone_number": "479-278-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S WALTON BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125747",
            "telephone_number": "479-273-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLERSCHULTZ",
        "first_name": "IAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk Eugene Milam, PHARM D
• Kali Miles
• Emily Lorraine Miller
• Julie Ann Miller, PA-C
• Robert M Miller, MD
• Sean Millhouse, LPC
• John Brett Mills, OD
• Omie Mills, MD
• Valerie Mills
• Timothy Milner

• General Practice Dentistry in Bentonville, AR
• Providers in Bentonville, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.