Active NPI
Cody Blake Doyle, D.C.
- Chiropractor
- La Grange, TX
National Provider Identifier
1114992419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7129
- Practice address
- 851 E Travis St
La Grange, TX 78945-2361 - Phone
- (979) 968-6400
- Fax
- (979) 968-6407
- NPI assigned
- Feb 21, 2006
- Last updated
- Nov 29, 2012
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7129 | TX | Primary |
Addresses
Primary practice location
851 E Travis St
La Grange, TX 78945-2361
Mailing address
PO Box 242
La Grange, TX 78945-0242
Phone (979) 968-6400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350049531 | Other | TX | RAILROAD MEDICARE |
| 605579 | Other | TX | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| Legacy Physical Therapy and Wellness LLC | Current | Accepting new patients |
Locations
295 W Byron Nelson Blvd
Ste 212
Roanoke, TX 76262
Phone (817) 756-5366
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Roanoke, TX
- NPI 1932748498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1114992419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 242",
"city": "LA GRANGE",
"state": "TX",
"postal_code": "789450242",
"telephone_number": "979-968-6400",
"fax_number": "979-968-6407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 E TRAVIS ST",
"city": "LA GRANGE",
"state": "TX",
"postal_code": "789452361",
"telephone_number": "979-968-6400",
"fax_number": "979-968-6407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "CODY",
"middle_name": "BLAKE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "7129",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350049531",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "605579",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Grange, TX
- Robert Compian, P.T.A.
- Lisa Faye Cummings, PHARMD
- Daniel a White PA (General and Laparoendoscopic Surgeons of Central Texas)
- Daniel J Ladd Jr DO PA Dba Austin Center for Skin Health and Rejuvenat
- Deborah a Thomas OD, & Assocs
- E T Baker Anesthesia Service PC
- Richard E. Edeen, M.D.
- Heidi Susanna Ehler, PTA
- Lana Khazma El-Asha, DDS
- Jennifer J Emmel, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.