Active NPI
Carl V Migliazzo, MD
- Specialist
- Overland Park, KS
National Provider Identifier
1700878519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 04-20942
- Practice address
- 7504 Antioch Rd
Overland Park, KS 66204-2622 - Phone
- (913) 341-3100
- Fax
- (913) 341-6818
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 04-20942 | KS | Primary |
Addresses
Primary practice location
7504 Antioch Rd
Overland Park, KS 66204-2622
Mailing address
7504 Antioch Rd
Overland Park, KS 66204-2622
Phone (913) 341-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180012520 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-20942 | KS | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435536000000",
"number": "1700878519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7504 ANTIOCH RD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662042622",
"telephone_number": "913-341-3100",
"fax_number": "913-341-6818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7504 ANTIOCH RD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662042622",
"telephone_number": "913-341-3100",
"fax_number": "913-341-6818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIGLIAZZO",
"first_name": "CARL",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2015-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KS",
"license": "04-20942",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180012520",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.