Active NPI
Michael M. Milanovich, D.M.D.
- Dentist
- Corpus Christi, TX
National Provider Identifier
1710060637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 35693
- Practice address
- 5317 S Padre Island Dr
Corpus Christi, TX 78411-4103 - Phone
- (361) 402-6007
- NPI assigned
- Oct 23, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019022222 | IL | |
| Dentist | 122300000X | 35693 | TX | Primary |
Addresses
Primary practice location
5317 S Padre Island Dr
Corpus Christi, TX 78411-4103
Mailing address
15430 Cruiser St Apt B
Corpus Christi, TX 78418-6762
Phone (618) 530-6276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190930000978 | TX | Order and Referring Only - Dentist | 1951631209 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019022222 | IL | MD | Dentist |
| 35693 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1710060637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15430 CRUISER ST APT B",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784186762",
"telephone_number": "618-530-6276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5317 S PADRE ISLAND DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784114103",
"telephone_number": "361-402-6007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILANOVICH",
"first_name": "MICHAEL",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019022222",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "35693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.