Milan Institutue

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3961 Issued in ID

Legal business name

MILAN INSTITUTUE

Practice address

8590 W Fairview Ave
Boise, ID 83704-8320

Phone

(208) 472-2020

NPI assigned

May 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara A Dehaan

Title

Director

Phone

(208) 472-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Academy of Professional Careers Former legal business name

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720292394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8590 W. FAIRVIEW AVENUE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83704",
            "telephone_number": "208-472-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8590 W FAIRVIEW AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048320",
            "telephone_number": "208-472-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILAN INSTITUTUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEHAAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "208-472-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8072719",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Academy of Professional Careers",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jessica Sara Mikelonis, LPC
• Annie Mikesell, MA, LCPC
• Mikelle E Mikesell, DO
• Daniel Miko-Mikyene
• Lara N Miko, LCSW
• Claire Milan, LMSW
• Liesl Allyn Milan, BA, MED, EDD, LMSW
• Aniyah Milanez
• Cannon Milani, MD
• Samantha Milburn, COTA/L

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.