Adam S. Miner, MD, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J2689 Issued in TX

Legal business name

ADAM S. MINER, MD, PA

Practice address

1120 W Campbell Rd
Suite 111
Richardson, TX 75080-2976

Phone

(972) 234-6868

Fax

(972) 238-1235

NPI assigned

Jan 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Adam S Miner, MDNPI 1467454603

Title

Physician/Owner

Phone

(972) 234-6868

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Promenade Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam Seth Miner, M.D.

  • Family Medicine Physician
  • Richardson, TX
  • NPI 1467454603
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1245416619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 796534",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753796534",
            "telephone_number": "972-234-6868",
            "fax_number": "972-238-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W CAMPBELL RD",
            "address_2": "SUITE 111",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802976",
            "telephone_number": "972-234-6868",
            "fax_number": "972-238-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM S. MINER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "MINER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "972-234-6868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J2689",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "J2689",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080185401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promenade Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nkemjika Achilike
• Alexcia Kanice Ackey
• Actfast Healthcare LLC
• David Acuff
• Acupuncture for Athletes Inc
• Adams Internal Medicine PLLC
• Allison Kroiss Adams, SLP
• Dishawn Jolene Adams, MS/LCDC/LPCA
• Kenneth K Adams, MD
• Kerri Lynn Adams, MS CCC

• Family Medicine Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.

Verify at the official NPI Registry.