DR. FREDRICK H MCMILLEN (NPI# 1003896697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003896697 |
| Entity Type | Individual |
| Full Name | DR. FREDRICK H MCMILLEN |
| Credential | DDS |
| Practice Address |
1226 Hartford Ave Suite 101 Johnston RI 02919 |
| Practice Telephone | 4013317171 |
| Practice Fax Number | 4013312527 |
| Mailing Telephone | 4013317171 |
| Mailing Fax Number | 4013312527 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2007-07-08 |
| NPI Deactivation Date | 10/02/2006 |
| NPI Reactivation Date | 2007-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DENO1479 | RI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | DELTA DENTAL | 1479 | 01 |
| RI | BLUE CROSS | 89292 | 01 |
| RI | FM00711 | 05 |
| Street Address |
1226 HARTFORD AVE SUITE 101 |
| City | JOHNSTON |
| State | RI |
| Zip Code | 02919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063433209 | Mcmillen Orthodontics Ltd | Dentist | 1226 Hartford Ave, Suite 101, Johnston, RI 02919-7100 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659935757 | Cheryl K. D'itri | Massage Therapist | 2051 Plainfield Pike, Johnston, RI 02919 | 2019-04-24 |
| 1013401124 | Cigna Onsite Health LLC | Clinic/Center | 735 Greenville Ave, Bldg D, Johnston, RI 02919 | 2018-06-21 |
| 1659862803 | Michaele Marie Colizza | Massage Therapist | 1524 Atwood Ave Ste 213, Johnston, RI 02919 | 2018-05-23 |
| 1609396613 | Peter Dionisopoulos | Physical Therapist | 12 Industrial Ln, Johnston, RI 02919 | 2017-06-21 |
| 1306382932 | Marcie E Diorio | Social Worker | 1126 Hartford Avenue Tri-county Community Action Agency, Johnston, RI 02919 | 2017-01-06 |
| 1467735720 | Robert Tortolani | Pharmacist | 1387 Plaindield St., Johnston, RI 02919 | 2011-09-23 |
| 1518288075 | Vito F. Ferri | Internal Medicine | 1539 Atwood Ave., Suite 101, Johnston, RI 02919 | 2010-06-18 |
| 1497073894 | Usv Optical Inc. | Technician/Technologist | 200 Stone Hill Drive, Johnston, RI 02919 | 2010-05-10 |
| 1922239995 | Heidi C. O'grady | Physical Therapist | 1529 Atwood Avenue, Suite 202, Johnston, TX 02919 | 2009-08-07 |
| 1184855397 | Holly Batura | Counselor | 1516 Hartford Avenue, Johnston, RI 02919 | 2009-08-05 |
| Find all providers in zip 02919 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013048966 | Dennis K Langwith | Dentist | 6105 Nw 86th St, Johnston, IA 50131-2240 | 2007-03-09 |
| 1306851159 | Drs Langwith Hull & Roush PC | Dentist | 6105 Nw 86th Street, Johnston, IA 50131-2240 | 2006-07-30 |
| 1821122763 | Nathan M. Hull | Dentist | 6105 Nw 86th St, Johnston, IA 50131-2240 | 2007-03-15 |
| 1992890156 | Maarten Broess | Dentist | 1414 Atwood Ave, Johnston, RI 02919-4839 | 2006-10-04 |
| 1063433209 | Mcmillen Orthodontics Ltd | Dentist | 1226 Hartford Ave, Suite 101, Johnston, RI 02919-7100 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285966481 | Gordon Orthodontics, Inc. | Dentist | 1171 Main Street, Hope Valley, RI 02832 | 2010-02-12 |
| 1124263884 | Coventry Orthodontic LLC | Dentist | 2435 Nooseneck Hill Rd, Coventry, RI 02816 | 2008-12-10 |
| 1689873952 | Michael Thomas Ferry | Dentist | 599 Pontiac Ave, Cranston, RI 02910-4709 | 2007-07-16 |
| 1417162165 | University Orthodontics | Dentist | 95 Sockanosset Cross Rd, Cranston, RI 02920-5559 | 2007-05-14 |
| 1396950762 | Orthodontic Partners Ltd | Dentist | 1109 Putnam Pike, Chepachet, RI 02814 | 2007-05-11 |
| 1073727095 | Scott Harsfield | Dentist | 1429 Warwick Ave, Warwick, RI 02888-5062 | 2007-05-09 |
| 1336261171 | Paul D Cashion | Dentist | 45 Patton Ave, Wakefield, RI 02879 | 2007-04-04 |
| 1790819985 | Cosmo Haralambidis | Dentist | 59 Phenix Avenue, Cranston, RI 02920-4222 | 2007-03-16 |
| 1396875753 | Robert P. Hayden | Dentist | 5 Crestview Dr, Westerly, RI 02891-2907 | 2007-03-06 |
| 1710028121 | Alan Craig Smith | Dentist | 500 Tollgate Road, Warwick, RI 02886 | 2007-02-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.