Organization Active NPI

Carmel Foot Specialists, PA

  • Primary Podiatric Medicine Podiatrist
  • Charlotte, NC
National Provider Identifier
1093713455
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
CARMEL FOOT SPECIALISTS, PA
Practice address
10370 Park Rd
Ste. 100
Charlotte, NC 28210-8508
Phone
(704) 542-8253
Fax
(704) 541-0186
NPI assigned
Jul 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Dr. Richard J Miller, DPM
Title
President
Phone
(704) 542-8253

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213EP1101X Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X

Addresses

Primary practice location

10370 Park Rd
Ste. 100
Charlotte, NC 28210-8508

Mailing address

10370 Park Rd
Ste. 100
Charlotte, NC 28210-8508
Phone (704) 542-8253

Other identifiers 1

IdentifierTypeStateIssuer
8908037MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1093713455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10370 PARK RD",
            "address_2": "STE. 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108508",
            "telephone_number": "704-542-8253",
            "fax_number": "704-541-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10370 PARK RD",
            "address_2": "STE. 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108508",
            "telephone_number": "704-542-8253",
            "fax_number": "704-541-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEL FOOT SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-542-8253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908037",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.