Edward T Jiles

Primary specialty

DriverTaxonomy code 172A00000X

License

J420-2385-3175-04 Issued in WI

Practice address

1000 N 92ND St
Milwaukee, WI 53226-3533

Phone

(414) 479-9400

Fax

(414) 259-1663

NPI assigned

May 22, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760691885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4044 N 41ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161606",
            "telephone_number": "414-479-9400",
            "fax_number": "414-259-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N 92ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263533",
            "telephone_number": "414-479-9400",
            "fax_number": "414-259-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JILES",
        "first_name": "EDWARD",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "WI",
            "license": "J420-2385-3175-04",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC PASSENGER LICENSE",
            "identifier": "DRR 0018971",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aruna Jha, PH.D., MSW, MS.ED,
• Pinky Jha, MD
• Amit R. Jhaveri, M.D.
• JHM Chiropractic, LLC
• Karen Ann Jick, LCSW
• Heidi A Jiles
• Colleen Jimenez
• Daysi Jimenez, LCSW
• Eduardo Andres Jimenez, SLP
• Karla Alejandra Jimenez, RN

• Driver in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Driver in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.