Brandon Demond Chiles

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

6001 Glencove PL
Oklahoma City, OK 73132-4756

Phone

(405) 837-2984

NPI assigned

Dec 14, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1295447902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 GLENCOVE PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731324756",
            "telephone_number": "405-837-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 GLENCOVE PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731324756",
            "telephone_number": "405-837-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILES",
        "first_name": "BRANDON",
        "middle_name": "DEMOND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children'S Dental Clinic of Oklahoma City, PLLC
• Childrens Eye Care P L L C
• Reshanna Leshae Childs-Russell
• Ebony T Childs
• TG Childs
• Daniel E Chiles
• Markesha S Chiles, LPN
• Pamela Gay Chiles, MED
• McKenzie Chilton
• Monica Neftali Chilton, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.