Laris Wayne Milligan, D.M.D., M.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4095 Issued in NC

Practice address

2250 Shipyard Blvd Ste 6
Wilmington, NC 28403-8070

Phone

(910) 799-5000

Fax

(910) 799-2005

NPI assigned

Feb 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Laris W. Milligan D.M.D., M.S., P.a

  • General Practice Dentistry
  • Wilmington, NC
  • NPI 1588082762
  Authorized official Same address or phone

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942348891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 SHIPYARD BLVD STE 6",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038070",
            "telephone_number": "910-799-5000",
            "fax_number": "910-799-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 SHIPYARD BLVD STE 6",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038070",
            "telephone_number": "910-799-5000",
            "fax_number": "910-799-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIGAN",
        "first_name": "LARIS",
        "middle_name": "WAYNE",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynsey Miller, RBT
• Patricia J Miller, L.AC.
• Scott F Miller, MSW, LCSWA
• Shawn William Miller
• Theresa Kiernan Miller, OTR/CHT
• Bridget Dixon Milliken, LCMHC, LCASA
• McCall Milliken
• Camme Beckerdite Millis, LPN
• Luke Mills
• Makayla Jessica Bowling Mills, MSW

• General Practice Dentistry in Wilmington, NC
• Providers in Wilmington, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.