Active NPI
Miguel Angel Cruz-Morales, RD
- Registered Dietitian
- Fort Mill, SC
National Provider Identifier
1073460242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3684
- Practice address
- 773 Stockbridge Dr
Fort Mill, SC 29708-7200 - Phone
- (704) 316-7760
- NPI assigned
- Mar 16, 2026
- Last updated
- May 4, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3684 | SC | Primary |
| Registered Dietitian | 133V00000X | L006543 | NC |
Addresses
Primary practice location
773 Stockbridge Dr
Fort Mill, SC 29708-7200
Mailing address
773 Stockbridge Dr
Fort Mill, SC 29708-7200
Other practice location 1
325 Hawthorne Ln Ste 100
Charlotte, NC 28204-2536
Phone (704) 316-7760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3545 Whitehall Park Dr
Suite 300
Charlotte, NC 28273-4179
PO Box
Charlotte, NC 28260
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L006543 | NC | MD | Registered Dietitian |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1073460242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "773 STOCKBRIDGE DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "773 STOCKBRIDGE DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087200",
"telephone_number": "704-316-7760"
}
],
"practiceLocations": [
{
"address_1": "325 Hawthorne Ln Ste 100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282042536",
"country_code": "US",
"telephone_number": "704-316-7760",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ-MORALES",
"first_name": "MIGUEL",
"middle_name": "ANGEL",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-16",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "3684",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L006543",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.