Sean Patrick Miles, USN IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

1636 Regulus Ave
Virginia Beach, VA 23461

Phone

(757) 893-2393

NPI assigned

Jul 19, 2007

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

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1386844389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 SCHOFIELD RD",
            "city": "VIRGININA BEACH",
            "state": "VA",
            "postal_code": "234592845",
            "telephone_number": "757-763-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 REGULUS AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23461",
            "telephone_number": "757-893-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "SEAN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "USN IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth L Miles
• Jennifer Miles
• Meredith Miles, DPT
• Payton Grissom Miles, BCBA
• Rebecca Miles, MSOT, OTR/L
• Milestone Treatment Center LLC
• Milestone, LLC
• Military Education Coordinators
• Deborah Lynn Millard, PA
• Miller & Josephs Family Services

• Independent Duty Corpsman in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Independent Duty Corpsman in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.