Organization Active NPI

David K Miller MD PC

  • General Practice Physician
  • Tulsa, OK
National Provider Identifier
1497986335
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23886 Issued in OK
Legal business name
DAVID K MILLER MD PC
Practice address
15905 E Oklahoma St
Tulsa, OK 74116-2408
Phone
(580) 223-9355
NPI assigned
Jul 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Dr. David K Miller, M.D.
Title
President
Phone
(580) 223-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 23886 OK Primary

Addresses

Primary practice location

15905 E Oklahoma St
Tulsa, OK 74116-2408

Mailing address

15905 E Oklahoma St
Tulsa, OK 74116-2408
Phone (580) 223-9355

National Provider Directory

National Provider Directory

Locations

901 12th Ave NW
Ste 101
Ardmore, OK 73401
Phone (580) 223-5919

Practitioners & affiliated clinicians

Practitioners 1

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": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1497986335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15905 E OKLAHOMA ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741162408",
            "telephone_number": "580-223-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15905 E OKLAHOMA ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741162408",
            "telephone_number": "580-223-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID K MILLER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-223-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "OK",
            "license": "23886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.

Verify at the official NPI Registry.