Individual provider Active NPI

Seth Charles Raye Miller, D.C.

  • Chiropractor
  • Ponca City, OK
National Provider Identifier
1477931574
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4211 Issued in OK
Practice address
516 E Hartford Ave
Ponca City, OK 74601-2003
Phone
(580) 762-1500
Fax
(580) 762-8010
NPI assigned
May 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4211 OK Primary

Addresses

Primary practice location

516 E Hartford Ave
Ponca City, OK 74601-2003

Mailing address

514 W Choctaw St
Garber, OK 73738-5414
Phone (580) 762-1500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160119000320 OK Practitioner - Chiropractic 6709189178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

102 N 5TH St
Ponca City, OK 74601-4535
Phone (580) 984-1338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Go Lightly Chiropractic Revolution Wellness Chiropractor CurrentSince Apr 17, 2017 Accepting new patients

Locations

102 N 5th St
Ponca City, OK 74601
Phone (580) 762-4476

205 E Grand Ave
Ponca City, OK 74601
Phone (580) 382-4560

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1477931574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W CHOCTAW ST",
            "city": "GARBER",
            "state": "OK",
            "postal_code": "737385414",
            "telephone_number": "580-762-1500",
            "fax_number": "580-762-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 E HARTFORD AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012003",
            "telephone_number": "580-762-1500",
            "fax_number": "580-762-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SETH",
        "middle_name": "CHARLES RAYE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-11",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.