Individual provider Active NPI

Timothy Chetan O'Doyle

  • Chiropractor
  • Marysville, WA
National Provider Identifier
1245583301
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3122 Issued in WA
Practice address
2730 172ND St NE
Marysville, WA 98271-4420
Phone
(360) 540-1299
NPI assigned
Oct 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3122 WA Primary

Addresses

Primary practice location

2730 172ND St NE
Marysville, WA 98271-4420

Mailing address

2730 172ND St NE
Marysville, WA 98271-4420
Phone (360) 540-1299

Other names 1

  • Dr. Timothy Patrick Doyle Former name

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

State licenses

LicenseStateTypeSpecialty
3122WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bothell Regenerative Medicine 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.

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1245583301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 172ND ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982714420",
            "telephone_number": "360-540-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 172ND ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982714420",
            "telephone_number": "360-540-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DOYLE",
        "first_name": "TIMOTHY",
        "middle_name": "CHETAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "3122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "DOYLE",
            "middle_name": "PATRICK",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.