Individual provider Active NPI

John Doyle, DDS

  • Dentist
  • Rocky Gap, VA
National Provider Identifier
1437237336
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8128 Issued in TN
Practice address
12080 N Scenic Hwy
Rocky Gap, VA 24366-0000
Phone
(276) 928-1520
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8128 TN Primary

Addresses

Primary practice location

12080 N Scenic Hwy
Rocky Gap, VA 24366-0000

Mailing address

12080 North Scenic Hwy
Rocky Gap, VA 24366
Phone (276) 928-1520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160322000860 VA Order and Referring Only - DentistPractitioner - Dentist 4880991660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8128TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Dentures & Implants - Rocky Gap, P.C. Dentist Past Accepting new patients
John J. Doyle, DDS, P.C. Past Accepting new patients

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1437237336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12080 NORTH SCENIC HWY",
            "city": "ROCKY GAP",
            "state": "VA",
            "postal_code": "24366",
            "telephone_number": "276-928-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12080 N SCENIC HWY",
            "city": "ROCKY GAP",
            "state": "VA",
            "postal_code": "243660000",
            "telephone_number": "276-928-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "JOHN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "8128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Gap, VA

Sources for this page

Verify at the official NPI Registry.