Kyle S Miller, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0649 Issued in TX

Practice address

109 Falls CT
Suite 400
Boerne, TX 78006-2977

Phone

(830) 249-5858

Fax

(830) 755-8755

NPI assigned

Jul 12, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Surgical Associates of Kerrville

  • Surgery Physician
  • Kerrville, TX
  • NPI 1184845315
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1679571764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31015 KEENELAND DR",
            "city": "FAIR OAKS RANCH",
            "state": "TX",
            "postal_code": "780154247",
            "telephone_number": "830-249-5858",
            "fax_number": "830-755-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 FALLS CT",
            "address_2": "SUITE 400",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062977",
            "telephone_number": "830-249-5858",
            "fax_number": "830-755-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KYLE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "0649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4198865",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "0072GZ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089559103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Elaine Meyer, SLP
• William Meyer, PT
• Michael a. Sorace, MD Mohs Micrographic & Skin Surgery, PLLC
• Michelle B Viro PHD PA
• Kasey Miller, CCC-SLP
• Aubrey Dawn Millican, LCSW
• Nick N. Milnor, D.C.
• Mind in Harmony Consultants Institute LLC
• Mission Pain & Spine, PLLC
• Christian Mitchell

• Foot & Ankle Surgery Podiatrist in Boerne, TX
• Providers in Boerne, 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 Jul 12, 2007; 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.