Active NPI
Richard J. Miller, DPM
- Primary Podiatric Medicine Podiatrist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 143
- Practice address
- 10370 Park Rd
Suite 100
Charlotte, NC 28210-8508 - Phone
- (704) 542-8253
- Fax
- (704) 541-0186
- NPI assigned
- Jul 7, 2005
- 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 |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 143 | NC | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 143 | NC |
Addresses
Primary practice location
10370 Park Rd
Suite 100
Charlotte, NC 28210-8508
Mailing address
10370 Park Rd
Charlotte, NC 28210-8508
Phone (704) 542-8253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8908123 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.95 of 100
- Promoting interoperability
- 87
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | Podiatrist | Current | Accepting new patients |
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | Podiatrist | Current | Accepting new patients |
| Carmel Foot Specialists, PA | Primary Podiatric Medicine | Past | Accepting new patients |
Locations
10370 Park Rd
Ste 100
Charlotte, NC 28210
Phone (704) 542-8253
10370 Park Rd
Charlotte, NC 28210
Phone (704) 542-8253
717 S Torrence St
Charlotte, NC 28204
Phone (704) 334-8682
130 Lake Concord Rd NE
Ste B
Concord, NC 28025
Phone (704) 786-4482
1022 Lee Ann Dr NE
Concord, NC 28025
Phone (704) 786-4482
1418 E Millbrook Rd
Raleigh, NC 27609
Phone (919) 850-9111
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Podiatrist
- Raleigh, NC
- NPI 1073804712
-
- Primary Podiatric Medicine Podiatrist
- Charlotte, NC
- NPI 1982650735
-
- Podiatrist
- Concord, NC
- NPI 1255213997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1194723809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10370 PARK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108508",
"telephone_number": "704-542-8253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10370 PARK RD",
"address_2": "SUITE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108508",
"telephone_number": "704-542-8253",
"fax_number": "704-541-0186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "RICHARD",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NC",
"license": "143",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NC",
"license": "143",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908123",
"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 Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.