John McMillen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019021057 Issued in IL

Practice address

2550 Hauser Ross Dr
Suite 300
Sycamore, IL 60178-3149

Phone

(815) 756-6626

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1730246646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 HAUSER ROSS DR",
            "address_2": "SUITE 300",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 HAUSER ROSS DR",
            "address_2": "SUITE 300",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783149",
            "telephone_number": "815-756-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLEN",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019021057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelena Lucinda McClure, M.S., CCC-SLP, L
• Jennifer McCormick, M.D.
• McCoy Chiropractic, P.C.
• Dwight Matthew McCoy, D.C., C.C.S.P.
• Alisandra Maria McCrystal
• Rebecca Anne Mecca
• Medical Outsourcing Solutions, Inc.
• Isamar Medina, MSW
• Medventures Medical LLC
• Meera Kataria Atkins, MD, SC

• General Practice Dentistry in Sycamore, IL
• Providers in Sycamore, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.