Active NPI
Melvin Eugene Mills III, D.C.
- Chiropractor
- Tulsa, OK
National Provider Identifier
1043382757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2499
- Practice address
- 12502 E 21St St
Tulsa, OK 74129-1803 - Phone
- (918) 437-5355
- Fax
- (918) 437-5356
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2499 | OK | Primary |
Addresses
Primary practice location
12502 E 21St St
Tulsa, OK 74129-1803
Mailing address
12502 E 21St St
Tulsa, OK 74129-1803
Phone (918) 437-5355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6562 E 51St St
Mills Chiropractic
Tulsa, OK 74145-7603
Phone (918) 437-5355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2499 | OK | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mem III Incorporated | Chiropractor | Current | Accepting new patients |
Locations
6562 E 51st St
Tulsa, OK 74145
12502 E 21st St
Tulsa, OK 74129
Phone (918) 437-5355
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.
-
- Chiropractor
- Tulsa, OK
- NPI 1174733141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1043382757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12502 E 21ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741291803",
"telephone_number": "918-437-5355",
"fax_number": "918-437-5356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12502 E 21ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741291803",
"telephone_number": "918-437-5355",
"fax_number": "918-437-5356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "MELVIN",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "2499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.