Active NPI
John Meredith Doyle, D.C.
- Orthopedic Chiropractor
- League City, TX
National Provider Identifier
1053543579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 11057
- Practice address
- 3033 Marina Bay Dr
Suite 200
League City, TX 77573-3984 - Phone
- (281) 334-9300
- NPI assigned
- Aug 17, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 11057 | TX | Primary |
Addresses
Primary practice location
3033 Marina Bay Dr
Suite 200
League City, TX 77573-3984
Mailing address
3033 Marina Bay Dr
Suite 200
League City, TX 77573-3984
Phone (281) 334-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150218002127 | TX | Practitioner - Chiropractic | 9638494461 | Practice locations: Houston, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12325 Scarsdale Blvd
Houston, TX 77089-6154
Phone (281) 484-9492
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11057 | TX | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250467200000",
"number": "1053543579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 MARINA BAY DR",
"address_2": "SUITE 200",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775733984",
"telephone_number": "281-334-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3033 MARINA BAY DR",
"address_2": "SUITE 200",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775733984",
"telephone_number": "281-334-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "JOHN",
"middle_name": "MEREDITH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-17",
"last_updated": "2009-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "TX",
"license": "11057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in League City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.