Active NPI
Joshua W Doyle, DDS
- General Practice Dentistry
- Medford, WI
National Provider Identifier
1053849943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1001525
- Practice address
- 915 Casement CT
Medford, WI 54451-1204 - Phone
- (715) 748-2688
- NPI assigned
- May 23, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1001525 | WI | Primary |
Addresses
Primary practice location
915 Casement CT
Medford, WI 54451-1204
Mailing address
PO Box 10
Phillips, WI 54555-0010
Phone (715) 339-3021
Other practice location 1
370 3rd Ave S
Park Falls, WI 54552-1228
Phone (715) 762-2188
Other practice location 2
720 Garfield Ave
Ladysmith, WI 54848-1271
Phone (715) 532-7054
Other practice location 3
605 Peterson Dr
Phillips, WI 54555-1430
Phone (715) 339-3021
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwoods Dentistry, S.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Phillips, WI
- NPI 1063859114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1053849943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "PHILLIPS",
"state": "WI",
"postal_code": "545550010",
"telephone_number": "715-339-3021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 CASEMENT CT",
"city": "MEDFORD",
"state": "WI",
"postal_code": "544511204",
"telephone_number": "715-748-2688"
}
],
"practiceLocations": [
{
"address_1": "370 3rd Ave S",
"address_purpose": "LOCATION",
"city": "Park Falls",
"state": "WI",
"postal_code": "545521228",
"country_code": "US",
"telephone_number": "715-762-2188",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "720 Garfield Ave",
"address_purpose": "LOCATION",
"city": "Ladysmith",
"state": "WI",
"postal_code": "548481271",
"country_code": "US",
"telephone_number": "715-532-7054",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "605 Peterson Dr",
"address_purpose": "LOCATION",
"city": "Phillips",
"state": "WI",
"postal_code": "545551430",
"country_code": "US",
"telephone_number": "715-339-3021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOYLE",
"first_name": "JOSHUA",
"middle_name": "W",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-23",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "1001525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.