Organization Active NPI

Brandon Mills Chiropractic PLLC

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1447439179
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3843 Issued in OK
Legal business name
BRANDON MILLS CHIROPRACTIC PLLC
Practice address
10403 S Pennsylvania Ave
Oklahoma City, OK 73159-6926
Phone
(405) 703-3033
Fax
(405) 735-9495
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Dr. Brandon Mills, D.C.NPI 1053514406
Title
Owner
Phone
(405) 379-3888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3843 OK Primary

Addresses

Primary practice location

10403 S Pennsylvania Ave
Oklahoma City, OK 73159-6926

Mailing address

10403 S Pennsylvania Ave
Oklahoma City, OK 73159-6926
Phone (405) 703-3033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071126000434 OK Part B Supplier - Clinic/Group Practice 2163510272 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

3320 Highway 75
Holdenville, OK 74848
Phone (405) 379-3320

10403 S Pennsylvania Ave
Oklahoma City, OK 73159
Phone (405) 703-3033

10801 S Western Ave
Ste 400
Oklahoma City, OK 73170
Phone (405) 703-3033

Practitioners & affiliated clinicians

Practitioners 3

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": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1447439179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10403 S PENNSYLVANIA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596926",
            "telephone_number": "405-703-3033",
            "fax_number": "405-735-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10403 S PENNSYLVANIA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596926",
            "telephone_number": "405-703-3033",
            "fax_number": "405-735-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON MILLS CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-379-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3843",
            "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 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.