Organization Active NPI

North Charlotte Plastic & Reconstructive Surgery, P.a.

  • Plastic Surgery Physician
  • Huntersville, NC
National Provider Identifier
1437301116
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
2007-00556 Issued in NC
Legal business name
NORTH CHARLOTTE PLASTIC & RECONSTRUCTIVE SURGERY, P.A.
Practice address
9735 Kincey Ave Ste 104
Huntersville, NC 28078-9118
Phone
(704) 896-5556
Fax
(704) 896-5585
NPI assigned
Oct 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Authorized official

Name
Dr. Erik John Miles, M.D.
Title
President
Phone
(704) 896-5556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 2007-00556 NC Primary

Addresses

Primary practice location

9735 Kincey Ave Ste 104
Huntersville, NC 28078-9118

Mailing address

9735 Kincey Ave Ste 104
Huntersville, NC 28078-9118
Phone (704) 896-5556

National Provider Directory

National Provider Directory

Locations

9735 Kincey Ave
Ste 104
Huntersville, NC 28078
Phone (704) 896-5556

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1437301116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 KINCEY AVE STE 104",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789118",
            "telephone_number": "704-896-5556",
            "fax_number": "704-896-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 KINCEY AVE STE 104",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789118",
            "telephone_number": "704-896-5556",
            "fax_number": "704-896-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CHARLOTTE PLASTIC & RECONSTRUCTIVE SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-896-5556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "2007-00556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.