NPIMap

Organization Active NPI

Doyle Chiropractic, PLLC

  • Chiropractor
  • Huntersville, NC
National Provider Identifier
1467533752
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3283 Issued in NC
Legal business name
DOYLE CHIROPRACTIC, PLLC
Practice address
9630 Sherrill Estates Rd
Suite B
Huntersville, NC 28078
Phone
(704) 947-7272
Fax
(704) 947-7676
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Authorized official

Name
Dr. Geoffrey A. DoyleNPI 1194747154
Title
Owner
Phone
(704) 947-7272

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3283 NC Primary

Addresses

Primary practice location

9630 Sherrill Estates Rd
Suite B
Huntersville, NC 28078

Mailing address

9630 Sherrill Estates Rd
Suite B
Huntersville, NC 28078
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
O20050916000908 NC Part B Supplier - Clinic/Group Practice 3971536111 Receives reassigned benefits from 5 practitioners
Practice locations: Huntersville, NC

National Provider Directory

National Provider Directory

Locations

10210 Hickorywood Hill Ave
Ste 120
Huntersville, NC 28078
Phone (423) 343-7038

Practitioners & affiliated clinicians

Practitioners 6

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1467533752",
    "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": "28078",
            "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": "28078",
            "telephone_number": "704-947-7272",
            "fax_number": "704-947-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOYLE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-947-7272",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 16, 2013; 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.