Active NPI
Chad Miller
- Athletic Trainer
- Oklahoma City, OK
National Provider Identifier
1437538394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 203
- Practice address
- 2820 NW 122ND St
Suite a
Oklahoma City, OK 73120-1709 - Phone
- (405) 749-6720
- NPI assigned
- May 26, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 203 | OK | Primary |
Addresses
Primary practice location
2820 NW 122ND St
Suite a
Oklahoma City, OK 73120-1709
Mailing address
2820 NW 122ND St
Oklahoma City, OK 73120-1709
Phone (405) 749-6720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203 | OK | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valir Outpatient Clinic #11 LLC | Past | Accepting new patients | |
| H2 Health Oklahoma Outpatient Clinics LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Oklahoma City, OK
- NPI 1982683306
-
- Physical Therapist
- Oklahoma City, OK
- NPI 1679008544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432598400000",
"number": "1437538394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 NW 122ND ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731201709",
"telephone_number": "405-749-6720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 NW 122ND ST",
"address_2": "SUITE A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731201709",
"telephone_number": "405-749-6720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CHAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-26",
"last_updated": "2015-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OK",
"license": "203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.