Organization Active NPI

Chisholm Public School

  • Local Education Agency (LEA)
  • Enid, OK
National Provider Identifier
1043571409
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CHISHOLM PUBLIC SCHOOL
Practice address
300 Colorado Ave
Enid, OK 73701-6621
Phone
(580) 237-5512
NPI assigned
Jun 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Authorized official

Name
Mr. Roydon Tilley
Title
Superintendent
Phone
(580) 237-5512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X OK Primary

Addresses

Primary practice location

300 Colorado Ave
Enid, OK 73701-6621

Mailing address

300 Colorado Ave
Enid, OK 73701-6621
Phone (580) 237-5512

Other identifiers 1

IdentifierTypeStateIssuer
100687880AMedicaidOK

National Provider Directory

National Provider Directory

Locations

300 Colorado Ave
North Enid, OK 73701
Phone (580) 237-5512

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1043571409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COLORADO AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016621",
            "telephone_number": "580-237-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COLORADO AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016621",
            "telephone_number": "580-237-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHISHOLM PUBLIC SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "TILLEY",
        "authorized_official_first_name": "ROYDON",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "580-237-5512",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100687880A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.