Individual provider Active NPI

Geoffrey Doyle, DC

  • Chiropractor
  • Huntersville, NC
National Provider Identifier
1194747154
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3283 Issued in NC
Practice address
9630 Sherrill Estates Rd
Suite B
Huntersville, NC 28078-6550
Phone
(704) 947-7272
Fax
(704) 947-7676
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3283 NC Primary

Addresses

Primary practice location

9630 Sherrill Estates Rd
Suite B
Huntersville, NC 28078-6550

Mailing address

9630 Sherrill Estates Rd
Suite B
Huntersville, NC 28078-6550
Phone (704) 947-7272

Other identifiers 1

IdentifierTypeStateIssuer
89085THMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041018000090 NC Practitioner - Chiropractic 8527028208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doyle Chiropractic PLLCGroup PAC ID 3971536111, 2 clinicians

Practice addresses (Care Compare)

9630 Sherrill Estates Rd
Suite B
Huntersville, NC 28078-6551

9630 Sherrill Estates Rd B
Huntersville, NC 28078-6551
Phone (704) 947-7272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3283NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Doyle Chiropractic, PLLC Chiropractor CurrentSince Jun 15, 2005 Accepting new patients
Binder Chiropractic, P.a. Chiropractor PastSince Sep 1, 1990 Accepting new patients

Locations

9630 Sherrill Estates Rd
Ste B
Huntersville, NC 28078
Phone (704) 947-7272

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1194747154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9630 SHERRILL ESTATES RD",
            "address_2": "SUITE B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786550",
            "telephone_number": "704-947-7272",
            "fax_number": "704-947-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 SHERRILL ESTATES RD",
            "address_2": "SUITE B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786550",
            "telephone_number": "704-947-7272",
            "fax_number": "704-947-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "GEOFFREY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085TH",
            "state": "NC"
        }
    ],
    "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 Dec 17, 2013; 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.

Verify at the official NPI Registry.