Glenn R Miller DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1441 Issued in TX

Legal business name

GLENN R MILLER DPM

Practice address

7101 S Staples St
Suite 103
Corpus Christi, TX 78413-5542

Phone

(361) 814-4055

Fax

(361) 814-1346

NPI assigned

Mar 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Robin Miller, DPMNPI 1265456602

Title

Podiatrist/Owner

Phone

(361) 814-4055

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Glenn R Miller, DPM

  • Podiatrist
  • Corpus Christi, TX
  • NPI 1265456602
  NPD (past) Authorized official

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1700057163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 S STAPLES ST",
            "address_2": "SUITE 103",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135542",
            "telephone_number": "361-814-4055",
            "fax_number": "361-814-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 S STAPLES ST",
            "address_2": "SUITE 103",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135542",
            "telephone_number": "361-814-4055",
            "fax_number": "361-814-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN R MILLER DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "361-814-4055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030428901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leighanne Glazener, MD
• Emily May Gleason
• Patrick Langham Gleason, M.D.
• Sarah Courtney Gleinser
• Glenda Jean Peters-DO, M.D., P.a.
• Brandon John Glenn, PA-C
• Joe Gloria
• Jordan N Glover, CRNA
• Julianne S Glover, AGNP-C
• Lee C. Glover, PHYSICAL THERAPIST

• Foot & Ankle Surgery Podiatrist in Corpus Christi, TX
• Providers in Corpus Christi, 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 Nov 22, 2010; 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.