NPIMap

Organization Active NPI

Milliren Family Dentistry

  • General Practice Dentistry
  • Hastings, MN
National Provider Identifier
1760686984
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9846 Issued in MN
Legal business name
MILLIREN FAMILY DENTISTRY
Practice address
925 Highway 55
Suite 102
Hastings, MN 55033-3734
Phone
(651) 437-7844
Fax
(651) 437-3454
NPI assigned
Jun 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Robert MillirenNPI 1245300920
Title
Owner
Phone
(651) 437-7844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12424 MN
General Practice Dentistry 1223G0001X 9846 MN Primary

Addresses

Primary practice location

925 Highway 55
Suite 102
Hastings, MN 55033-3734

Mailing address

925 Highway 55
Suite 102
Hastings, MN 55033-3734
Phone (651) 437-7844

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760686984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 HIGHWAY 55",
            "address_2": "SUITE 102",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550333734",
            "telephone_number": "651-437-7844",
            "fax_number": "651-437-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 HIGHWAY 55",
            "address_2": "SUITE 102",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550333734",
            "telephone_number": "651-437-7844",
            "fax_number": "651-437-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLIREN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLIREN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-437-7844",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "12424",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, MN

Sources for this page

  • 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.