Organization Active NPI

Lance Doyle DC PC

  • Clinic/Center
  • Yukon, OK
National Provider Identifier
1225277239
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3911 Issued in OK
Legal business name
LANCE DOYLE DC PC
Practice address
1050 W Vandament Ave
Yukon, OK 73099-3877
Phone
(405) 354-5753
Fax
(405) 354-5828
NPI assigned
Feb 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Dr. Lance B Doyle, D.C.NPI 1548406945
Title
Chiropractor/Owner
Phone
(405) 354-5753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 3911 OK Primary

Addresses

Primary practice location

1050 W Vandament Ave
Yukon, OK 73099-3877

Mailing address

1050 W Vandament Ave
Yukon, OK 73099-3877
Phone (405) 354-5753

Other names 1

  • Doyle Chiropractic and Family Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120229000333 OK Part B Supplier - Clinic/Group Practice 4688832280 Receives reassigned benefits from 8 practitioners
Practice locations: Yukon, OK

National Provider Directory

National Provider Directory

Locations

1050 W Vandament Ave
Yukon, OK 73099
Phone (405) 354-5753

619 W Main St
Yukon, OK 73099
Phone (405) 354-5604

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1225277239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W VANDAMENT AVE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730993877",
            "telephone_number": "405-354-5753",
            "fax_number": "405-354-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W VANDAMENT AVE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730993877",
            "telephone_number": "405-354-5753",
            "fax_number": "405-354-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCE DOYLE DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "405-354-5753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "3911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doyle Chiropractic and Family Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.