Active NPI
Loren J Miller DPM PLC
- Foot & Ankle Surgery Podiatrist
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- LOREN J MILLER DPM PLC
- Practice address
- 4200 Central Ave
St Petersburg, FL 33711-1140 - Phone
- (727) 321-3000
- NPI assigned
- Nov 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Loren Jeffery Miller, DPM
- Title
- Provider
- Phone
- (727) 321-3100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
4200 Central Ave
St Petersburg, FL 33711-1140
Mailing address
4200 Central Ave
St Petersburg, FL 33711-1140
Phone (727) 321-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251110000655 | FL | DME Supplier - Physician - Podiatry | 5991807737 | Practice locations: St Petersburg, FL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Advanced Foot and Surge
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- St Petersburg, FL
- NPI 1033121306
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- St Petersburg, FL
- NPI 1285682344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762387200000",
"number": "1881564854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 CENTRAL AVE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337111140",
"telephone_number": "727-321-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 CENTRAL AVE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337111140",
"telephone_number": "727-321-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOREN J MILLER DPM PLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-06",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "LOREN",
"authorized_official_middle_name": "JEFFERY",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "727-321-3100",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.