Individual provider Active NPI

Carl Joseph Milano, D.M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Easton, PA
National Provider Identifier
1720199805
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
DS020803L Issued in PA
Practice address
1412 Sullivan TRL
Easton, PA 18040
Phone
(610) 258-9081
Fax
(610) 258-0377
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 22DI01160800 NJ
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DS020803L PA Primary

Addresses

Primary practice location

1412 Sullivan TRL
Easton, PA 18040

Mailing address

1412 Sullivan TRL
Easton, PA 18040
Phone (610) 258-9081

Other identifiers 5

IdentifierTypeStateIssuer
083705OtherHIGHMARK
051397OtherAETNA
083705OtherUNITED CONCORDIA DENTAL
50003547OtherCAPITOL BC MEDICAL
50003548OtherCAPITOL BC GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101202000106 PA Practitioner - Oral Surgery 2567658503 Receives reassigned benefits from 1 practitioner
Practice locations: Easton, PA

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Albert Einstein College of Medicine of Yeshiva University, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1412 Sullivan Trail
Easton, PA 18040

1412 Sullivan Trail
Easton, PA 18040-1114

1412 Sullivan TRL
Easton, PA 18040-1114
Phone (610) 258-9081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI01160800NJMDOral & Maxillofacial Surgery (D.M.D.)
DS020803LPAMDOral & Maxillofacial Surgery (D.M.D.)

Practitioners & affiliated clinicians

Practitioners 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1720199805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 SULLIVAN TRL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "18040",
            "telephone_number": "610-258-9081",
            "fax_number": "610-258-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 SULLIVAN TRL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "18040",
            "telephone_number": "610-258-9081",
            "fax_number": "610-258-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILANO",
        "first_name": "CARL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI01160800",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "PA",
            "license": "DS020803L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "083705",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "051397",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA DENTAL",
            "identifier": "083705",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITOL BC MEDICAL",
            "identifier": "50003547",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITOL BC GROUP",
            "identifier": "50003548",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.