Active NPI
Jeffrey Anthony Miles, D.D.S.
- General Practice Dentistry
- Tulsa, OK
National Provider Identifier
1962626044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4641
- Practice address
- 5930 E 31St St
Suite 400
Tulsa, OK 74135-5114 - Phone
- (918) 627-7220
- NPI assigned
- Apr 12, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4641 | OK | Primary |
Addresses
Primary practice location
5930 E 31St St
Suite 400
Tulsa, OK 74135-5114
Mailing address
5930 E 31St St
Suite 400
Tulsa, OK 74135-5114
Phone (918) 627-7220
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 |
|---|---|---|---|
| 4641 | OK | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962626044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5930 E 31ST ST",
"address_2": "SUITE 400",
"city": "TULSA",
"state": "OK",
"postal_code": "741355114",
"telephone_number": "918-627-7220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5930 E 31ST ST",
"address_2": "SUITE 400",
"city": "TULSA",
"state": "OK",
"postal_code": "741355114",
"telephone_number": "918-627-7220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "JEFFREY",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "4641",
"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 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.