Active NPI
Patrick Newmann Doyle Jr., D.C.
- Chiropractor
- Boerne, TX
National Provider Identifier
1629103312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10350
- Practice address
- 635 Hwy 46 E, Ste. 102
Boerne, TX 78006-6009 - Phone
- (830) 336-4445
- Fax
- (830) 336-4415
- NPI assigned
- Feb 22, 2007
- Last updated
- Nov 14, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10350 | TX | Primary |
Addresses
Primary practice location
635 Hwy 46 E, Ste. 102
Boerne, TX 78006-6009
Mailing address
635 Hwy 46 E, Ste 102
Boerne, TX 78006-6009
Phone (830) 336-4445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8R9384 | Other | TX | BLUECROSS BLUESHIELD ID |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10350 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415923200000",
"number": "1629103312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 HWY 46 E, STE 102",
"city": "BOERNE",
"state": "TX",
"postal_code": "780066009",
"telephone_number": "830-336-4445",
"fax_number": "830-336-4415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 HWY 46 E, STE. 102",
"city": "BOERNE",
"state": "TX",
"postal_code": "780066009",
"telephone_number": "830-336-4445",
"fax_number": "830-336-4415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "PATRICK",
"middle_name": "NEWMANN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2014-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD ID",
"identifier": "8R9384",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.