Individual provider Active NPI

Micky Robert Doyle, D.C.

  • Chiropractor
  • Reno, NV
National Provider Identifier
1609903962
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01026 Issued in NV
Practice address
294 E Moana LN Ste 28
Reno, NV 89502-4641
Phone
(775) 829-7575
Fax
(775) 829-7755
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B01026 NV Primary

Addresses

Primary practice location

294 E Moana LN Ste 28
Reno, NV 89502-4641

Mailing address

2900 Clear Acre LN Ste B
Reno, NV 89512-1764
Phone (775) 673-6858

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050210000452 NV Practitioner - Chiropractic 5597717298 Reassigns benefits to 1 organization
Practice locations: Reno, NV

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alan S Bader D C LTD a Nevada Professional CorporationGroup PAC ID 1658653746, 2 clinicians

Practice addresses (Care Compare)

294 E Moana LN
Suite 28
Reno, NV 89502-4641
Phone (775) 829-7575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
B01026NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients
Reno Family Chiropractic LLC Chiropractor Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients

Organizations & group practices 6

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1609903962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CLEAR ACRE LN STE B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895121764",
            "telephone_number": "775-673-6858",
            "fax_number": "775-673-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 E MOANA LN STE 28",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024641",
            "telephone_number": "775-829-7575",
            "fax_number": "775-829-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "MICKY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.