Active NPI
Steven J Worley, DDS
- General Practice Dentistry
- Ferriday, LA
National Provider Identifier
1861499477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5069
- Practice address
- 1810 Ee Wallace Blvd N
#2 Huntington Plaza
Ferriday, LA 71334-2253 - Phone
- (318) 757-3648
- Fax
- (318) 757-9370
- NPI assigned
- Jun 29, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5069 | LA | Primary |
Addresses
Primary practice location
1810 Ee Wallace Blvd N
#2 Huntington Plaza
Ferriday, LA 71334-2253
Mailing address
267 Panola Dr
Ferriday, LA 71334-4219
Phone (318) 757-6391
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 973373 | Other | LA | TRICARE PROVIDER # |
| 1850691 | Medicaid | LA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5069 | LA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tom T. Milliken, DDS LLC | Past | 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 and National Provider Directory roles.
-
- Dentist
- Ferriday, LA
- NPI 1942676143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1861499477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 PANOLA DR",
"city": "FERRIDAY",
"state": "LA",
"postal_code": "713344219",
"telephone_number": "318-757-6391",
"fax_number": "318-757-9370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 EE WALLACE BLVD N",
"address_2": "#2 HUNTINGTON PLAZA",
"city": "FERRIDAY",
"state": "LA",
"postal_code": "713342253",
"telephone_number": "318-757-3648",
"fax_number": "318-757-9370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORLEY",
"first_name": "STEVEN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "5069",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PROVIDER #",
"identifier": "973373",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1850691",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ferriday, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.