Active NPI
Robert Allen Doyle Jr., DMD
- Dentist
- Wallkill, NY
National Provider Identifier
1598842346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 050566
- Practice address
- 800 Red Mills Rd
Wallkill, NY 12589-3220 - Phone
- (845) 744-9105
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 050566 | NY | Primary |
| General Practice Dentistry | 1223G0001X | DS035693 | PA |
Addresses
Primary practice location
800 Red Mills Rd
Wallkill, NY 12589-3220
Mailing address
2700 Sunset Blvd
Steubenville, OH 43952-1158
Phone (740) 264-6811
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0137754 | Medicaid | OH | |
| 103036064 0001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240102003598 | PA | Order and Referring Only - Dentist | 3678884780 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050566 | NY | MD | Physical Therapy Clinic/Center |
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": "1764288000000",
"number": "1598842346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 SUNSET BLVD",
"city": "STEUBENVILLE",
"state": "OH",
"postal_code": "439521158",
"telephone_number": "740-264-6811",
"fax_number": "740-264-6812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 RED MILLS RD",
"city": "WALLKILL",
"state": "NY",
"postal_code": "125893220",
"telephone_number": "845-744-9105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "ROBERT",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2025-11-28",
"certification_date": "2025-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "050566",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS035693",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0137754",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103036064 0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wallkill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.