Individual provider Active NPI

John Randall Millington Jr., D.M.D.

  • General Practice Dentistry
  • Birmingham, AL
National Provider Identifier
1851520118
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5692 Issued in AL
Practice address
6930 Cahaba Valley Rd Ste 1
Birmingham, AL 35242-2672
Phone
(205) 991-7840
Fax
(205) 991-9617
NPI assigned
Jul 8, 2009
Last updated
Jul 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5692 AL Primary

Addresses

Primary practice location

6930 Cahaba Valley Rd Ste 1
Birmingham, AL 35242-2672

Mailing address

6930 Cahaba Valley Rd Ste 1
Birmingham, AL 35242-2672
Phone (205) 991-7840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161229000329 AL Order and Referring Only - DentistPractitioner - Dentist 8426339763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5692ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Millington & Plagenhoef Dentistry LLC Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1851520118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 CAHABA VALLEY RD STE 1",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422672",
            "telephone_number": "205-991-7840",
            "fax_number": "205-991-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 CAHABA VALLEY RD STE 1",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422672",
            "telephone_number": "205-991-7840",
            "fax_number": "205-991-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLINGTON",
        "first_name": "JOHN",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.