S Rick Miller D P M Professional Corporation

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0562 Issued in TX

Legal business name

S RICK MILLER D P M PROFESSIONAL CORPORATION

Practice address

2150 N Josey LN
#202
Carrollton, TX 75006-2991

Phone

(972) 242-0660

Fax

(972) 242-7596

NPI assigned

Mar 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Steven Rick Miller, D.P.M.

Title

Owner/Physician

Phone

(972) 242-0660

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ADVANCED FOOT AND ANKLE CTR /N. TX Doing business as

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/fc560d6f-3a3b-46f9-a29b-c2da7f788404/

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1124299672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 GODWARD ST NE",
            "address_2": "STE 4100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131741",
            "telephone_number": "972-242-0660",
            "fax_number": "972-242-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 N JOSEY LN",
            "address_2": "#202",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062991",
            "telephone_number": "972-242-0660",
            "fax_number": "972-242-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S RICK MILLER D P M PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "RICK",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "972-242-0660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "0562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124299672",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0927527-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED FOOT AND ANKLE CTR /N. TX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Foot & Ankle Surgery Podiatrist in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.