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DR. JACK OLEN MILLS D.D.S.
NPI 1184780660
Dentist - Oral and Maxillofacial Pathology in Livermore, CA

Active since December 28, 2006Opted out of Medicare · through May 6, 2028
60 FENTON ST, SUITE 7, LIVERMORE, CA 94550(925) 443-4211(925) 443-4716 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jack Olen Mills D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK OLEN MILLS D.D.S. (NPI 1184780660) is an individual oral and maxillofacial pathology provider in Livermore, California, licensed in California (16954) and active in the NPI registry since December 2006. He has opted out of Medicare through May 6, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1184780660
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameDR. JACK OLEN MILLSCredential: D.D.S.
Location Address60 FENTON ST, SUITE 7Livermore, CA 94550-4148
Mailing Address60 Fenton St, Suite 7Livermore, CA 94550-4148 · (925) 443-4211 · Fax (925) 443-4716
Phone(925) 443-4211
Fax(925) 443-4716
Sole ProprietorYes
Enumeration DateDecember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1184780660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in CA · 16954
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
60 FENTON ST, Livermore, CA 94550
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jack Olen Mills D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 6, 2016 through May 6, 2028.

Opt-Out Effective DateMay 6, 2016
Opt-Out In Effect ThroughMay 6, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94550 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL RABAYE CMT
Massage Therapist
60 FENTON ST
LIVERMORE, CA 94550
Alameda County (925) 481-1574
DR. JOHN LEE D.D.S
Dentist (General Practice)
60 FENTON ST, SU. 3
LIVERMORE, CA 94550
Alameda County (925) 449-1232
M.Y. ACUPUNCTURE
Acupuncturist
60 FENTON ST, #6
LIVERMORE, CA 94550
Alameda County (925) 337-0246
DR. MARY FRANCES KULLA M.D.
Psychiatry & Neurology (Psychiatry)
60 FENTON ST, SUITE 5
LIVERMORE, CA 94550
Alameda County (925) 321-0995

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Mills's NPI number?

The NPI number for Jack Mills is 1184780660. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Jack Mills located?

Jack Mills practices at 60 Fenton St Suite 7, Livermore, CA 94550. The listed phone number is (925) 443-4211.

What is Jack Mills's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Jack Mills enrolled in Medicare?

No. Jack Mills has opted out of Medicare through May 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jack Mills was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.