PROMENADE FAMILY MEDICINE
NPI 1245416619
Family Medicine in Richardson, TX

Active since January 16, 2008CLIA 45D0477708 · Microscopy
1120 W CAMPBELL RD, SUITE 111, RICHARDSON, TX 75080(972) 234-6868(972) 238-1235 Get Directions Write a Review

NPPES record last updated: May 15, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Promenade Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROMENADE FAMILY MEDICINE (NPI 1245416619) is a healthcare organization registered as a family medicine in Richardson, Texas and active in the NPI registry since January 2008. The organization holds a CLIA Microscopy certificate valid through March 6, 2028 and lists Adam S Miner, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1245416619
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameADAM S. MINER, MD, PA
Location Address1120 W CAMPBELL RD, SUITE 111Richardson, TX 75080-2976
Mailing AddressPo Box 796534Dallas, TX 75379-6534 · (972) 234-6868 · Fax (972) 238-1235
Fax(972) 238-1235
Organization SubpartNo
Authorized OfficialAdam S MinerPhysician/owner · (972) 234-6868
Enumeration DateJanuary 16, 2008
Last NPPES UpdateMay 15, 2009
NPI 1245416619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · J2689
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/CenterTaxonomy 261Q00000X · License J2689 (TX)
1120 W CAMPBELL RD, Richardson, TX 75080

Other Names 1

Doing Business AsPromenade Family Medicine

Other Identifiers 2

Medicare UPIN81780KTX
Medicaid080185401TX

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0477708

Adam S Miner, MD Dba Promenade Family Medicine · Richardson, TX
Active · expires Mar 6, 2028
CLIA Number45D0477708
Laboratory TypePhysician Office
Certificate Effective DateMarch 7, 2026
Certificate Expiration DateMarch 6, 2028
Laboratory DirectorAdam S. Miner
Laboratory Phone(972) 234-6868
Laboratory LocationAdam S Miner, MD Dba Promenade Family Medicine1120 W Campbell Road, Suite 111, Richardson, TX 75080
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Rheumatology)
1120 W CAMPBELL RD, SUITE 111
RICHARDSON, TX 75080
Eyewear Supplier
1120 W CAMPBELL RD, SUITE 105
RICHARDSON, TX 75080
Family Medicine
1120 W CAMPBELL RD, STE 111
RICHARDSON, TX 75080
Family Medicine
1120 W CAMPBELL RD, SUITE NUMBER 111
RICHARDSON, TX 75080
Orthopaedic Surgery (Sports Medicine)
1120 W CAMPBELL RD, SUITE 109
RICHARDSON, TX 75080
Family Medicine
1120 W CAMPBELL RD, SUITE 111
RICHARDSON, TX 75080
Orthopaedic Surgery (Foot and Ankle Surgery)
1120 W CAMPBELL RD, STE 109
RICHARDSON, TX 75080
Specialist
1120 W CAMPBELL RD, SUITE 109
RICHARDSON, TX 75080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam S. Miner, MD, PA's NPI number?

The NPI number for Adam S. Miner, MD, PA is 1245416619. It was assigned to this organization in the NPPES registry on January 16, 2008. The provider is doing business as Promenade Family Medicine.

Where is Adam S. Miner, MD, PA located?

Adam S. Miner, MD, PA is located at 1120 W Campbell Rd Suite 111, Richardson, TX 75080. The listed phone number is (972) 234-6868.

What is Adam S. Miner, MD, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Adam S. Miner, MD, PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0477708) is associated with this NPI, valid through March 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Adam S. Miner, MD, PA accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Adam S. Miner, MD, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Adam S. Miner, MD, PA was last updated on May 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.