Organization Active NPI

J.R. Millington Dentistry

  • General Practice Dentistry
  • Trussville, AL
National Provider Identifier
1790386324
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
J.R. MILLINGTON DENTISTRY
Practice address
116 Watterson Pkwy
Trussville, AL 35173-2306
Phone
(205) 655-7774
Fax
(205) 661-6610
NPI assigned
Nov 2, 2020
Last updated
Nov 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Dr. John R Millington Jr., DMD
Title
Dentist/Owner
Phone
(205) 655-7774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

116 Watterson Pkwy
Trussville, AL 35173-2306

Mailing address

116 Watterson Pkwy
Trussville, AL 35173-2306
Phone (205) 655-7774

Other identifiers 2

IdentifierTypeStateIssuer
1851520118OtherALINDIVIDUAL NPI
5692OtherALDENTAL LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL jrmillingtondentistry@gmail.com
CONNECT URL WEAVE Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1790386324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 WATTERSON PKWY",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732306",
            "telephone_number": "205-655-7774",
            "fax_number": "205-661-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 WATTERSON PKWY",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732306",
            "telephone_number": "205-655-7774",
            "fax_number": "205-661-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.R. MILLINGTON DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "MILLINGTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "205-655-7774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1851520118",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "5692",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jrmillingtondentistry@gmail.com",
            "affiliation": "N",
            "address_1": "303 Kensington Ave",
            "city": "Trussville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "351733246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WEAVE",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Messaging, Appointments, Links to patient form",
            "address_1": "116 Watterson Pkwy",
            "city": "Trussville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "351732306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trussville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.