Organization Active NPI

North Charlotte Plastic Surgery Associates PA

  • Plastic Surgery Physician
  • Huntersville, NC
National Provider Identifier
1972790657
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
NORTH CHARLOTTE PLASTIC SURGERY ASSOCIATES PA
Practice address
13620 Reese Blvd E
BLDG XII Suite 110
Huntersville, NC 28078-6417
Phone
(704) 896-0230
Fax
(704) 987-3709
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Erik J Miles
Title
MD
Phone
(704) 728-2787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

13620 Reese Blvd E
BLDG XII Suite 110
Huntersville, NC 28078-6417

Mailing address

7306 Swansea LN
Cornelius, NC 28031-8696
Phone (704) 896-0230

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1972790657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7306 SWANSEA LN",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318696",
            "telephone_number": "704-896-0230",
            "fax_number": "704-987-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 REESE BLVD E",
            "address_2": "BLDG XII SUITE 110",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786417",
            "telephone_number": "704-896-0230",
            "fax_number": "704-987-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CHARLOTTE PLASTIC SURGERY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "704-728-2787"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.