Philip Carlton Mills, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5838 Issued in OR

Practice address

13255 SE Stark St
Portland, OR 97233-1548

Phone

(503) 255-1901

Fax

(503) 255-3114

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1730280918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 NE CAMPUS WAY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245611",
            "telephone_number": "503-952-2000",
            "fax_number": "503-255-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13255 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331548",
            "telephone_number": "503-255-1901",
            "fax_number": "503-255-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "PHILIP",
        "middle_name": "CARLTON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D5838",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 60121517",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON HEALTH PLAN PROVID",
            "identifier": "228965",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail Mills, MA
• Jeremy T Mills, D.O.
• Lilly Mills
• Lydia Mills, LCSW
• Meghan Mills, COUNSELING INTERN
• Serah Mills, LMT
• Thomas Rodney Mills Jr., RC 1
• Trudy M Mills, MFT, LPC
• Eric Paul Milne, MS-LMFT
• Robert H. Milne, D.M.D.

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.