Organization Active NPI

Rodney J. Miles, M.D., Inc.

  • Primary Care Clinic/Center
  • Moore, OK
National Provider Identifier
1174745830
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
13897 Issued in OK
Legal business name
RODNEY J. MILES, M.D., INC.
Practice address
520 S Telephone Rd
Suite 110
Moore, OK 73160-5423
Phone
(405) 794-4664
Fax
(405) 794-2853
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rodney James Miles, M.D.
Title
President
Phone
(405) 794-4664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 13897 OK Primary

Addresses

Primary practice location

520 S Telephone Rd
Suite 110
Moore, OK 73160-5423

Mailing address

520 S Telephone Rd
Suite 110
Moore, OK 73160-5423
Phone (405) 794-4664

National Provider Directory

National Provider Directory

Locations

1400 SE 4th St
Ste D
Moore, OK 73160
Phone (405) 794-3557

1312 NW 12th St
Moore, OK 73170
Phone (405) 794-4664

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174745830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S TELEPHONE RD",
            "address_2": "SUITE 110",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605423",
            "telephone_number": "405-794-4664",
            "fax_number": "405-794-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S TELEPHONE RD",
            "address_2": "SUITE 110",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605423",
            "telephone_number": "405-794-4664",
            "fax_number": "405-794-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY J. MILES, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-794-4664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "13897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.