Active NPI
Jon Kimberly Miller, MD
- Orthopaedic Surgery of the Spine Physician
- Wilmington, NC
National Provider Identifier
1710937214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 38395
- Practice address
- 2716 Ashton Dr
Wilmington, NC 28412-2489 - Phone
- (910) 332-3800
- Fax
- (910) 251-0421
- NPI assigned
- May 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 38395 | NC | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 38395 | NC | Primary |
Addresses
Primary practice location
2716 Ashton Dr
Wilmington, NC 28412-2489
Mailing address
2716 Ashton Dr
Wilmington, NC 28412-2489
Phone (910) 332-3800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59023 | Other | NC | BCBS |
| 8959023 | Medicaid | NC | |
| 200027636 | Other | RR MEDICARE | |
| 0928886 | Other | UHC |
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 |
|---|---|---|---|
| 38395 | NC | MD | Orthopaedic Surgery of the Spine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1710937214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2716 ASHTON DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284122489",
"telephone_number": "910-332-3800",
"fax_number": "910-251-0421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2716 ASHTON DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284122489",
"telephone_number": "910-332-3800",
"fax_number": "910-251-0421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JON",
"middle_name": "KIMBERLY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "38395",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NC",
"license": "38395",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "59023",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8959023",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "200027636",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "0928886",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.