Charles Phillip Miles

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

702 N Grand St
Enid, OK 73701-3221

Phone

(580) 234-3791

NPI assigned

Feb 6, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Phillip Miles Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1285330829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 N WASHINGTON ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737012109",
            "telephone_number": "580-234-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N GRAND ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737013221",
            "telephone_number": "580-234-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "CHARLES",
        "middle_name": "PHILLIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHILLIP",
            "last_name": "MILES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• MG Miller-Management & Holding LTD Co
• Michael G. Nolen M.D. PLLC
• Michael L Peck
• Connor Mihoulides
• Mike Nicholas, O.D. Inc.
• John Emmet Miles, M.D.
• Millennium Community Services LLC
• Millennium Medical Services, L.L.C.
• David R Miller, M.D.
• Gary Warren Miller, DDS

• Peer Specialist in Enid, OK
• Providers in Enid, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.