Individual provider Active NPI

Neelu Milak, DDS

  • Dentist
  • Belcamp, MD
National Provider Identifier
1790799765
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D38111 Issued in MD
Practice address
111 Bata Blvd # D
Belcamp, MD 21017-1431
Phone
(410) 939-3343
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D38111MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Neelu S Milak Dentist Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D38111 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

111 Bata Blvd # D
Belcamp, MD 21017-1431

Mailing address

200 N Union Ave
Havre de Grace, MD 21078-2907
Phone (410) 939-3343

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
521913101OtherMDTAX ID

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 19, 2012.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1790799765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N UNION AVE",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782907",
            "telephone_number": "410-939-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BATA BLVD # D",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171431",
            "telephone_number": "410-939-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAK",
        "first_name": "NEELU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "D38111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "521913101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belcamp, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.