Kombetta D Miles

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

1489352 Issued in TX

Practice address

4040 N Macarthur Blvd Ste 116
Irving, TX 75038-6430

Phone

(817) 798-2384

NPI assigned

Nov 21, 2020

Last updated

Nov 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kombetta Rodgers Miles Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1275136152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 N MACARTHUR BLVD STE 116",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386430",
            "telephone_number": "817-798-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 N MACARTHUR BLVD STE 116",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386430",
            "telephone_number": "817-798-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "KOMBETTA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-21",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TX",
            "license": "1489352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOMBETTA",
            "last_name": "MILES",
            "middle_name": "RODGERS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sonia Mijares
• David Miksits, MD
• John Charles Milani, M.D.
• Joseph Leslie Milburn, M.D.
• Alexis Miles, PT, DPT
• Alyssa Miller
• Charles T Miller Jr., D.C.
• Jeff A Miller, DC
• Lauren Miller, COSMETOLOGIST
• Tokpah O Miller Sr., FNP-C

• Prosthetist in Irving, TX
• Providers in Irving, TX by specialty
• Prosthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; 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.