Active NPI
Carmel Foot Specialists, PA
- Primary Podiatric Medicine Podiatrist
- Charlotte, NC
National Provider Identifier
1093713455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | Primary | ||
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8908037 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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.