Individual provider Active NPI

Denver Joseph Doyle, DC

  • Chiropractor
  • Ankeny, IA
National Provider Identifier
1659034866
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
106903 Issued in IA
Practice address
2732 SE Delaware Ave Ste 280
Ankeny, IA 50021-9322
Phone
(515) 639-0012
NPI assigned
Oct 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 106903 IA Primary

Addresses

Primary practice location

2732 SE Delaware Ave Ste 280
Ankeny, IA 50021-9322

Mailing address

2732 SE Delaware Ave Ste 280
Ankeny, IA 50021-9322
Phone (515) 639-0012

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125001551 KS Practitioner - Chiropractic 0941698146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Circle Chiropractic LLCGroup PAC ID 0143753624, 2 clinicians

Practice addresses (Care Compare)

12160 W Central Ave
Suite 101
Wichita, KS 67235-9203
Phone (316) 399-5442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Chiropractic LLC Chiropractor CurrentSince May 1, 2023 Accepting new patients

Locations

12160 W Central Ave
Ste 101
Wichita, KS 67235
Phone (316) 399-5442

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1659034866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 SE DELAWARE AVE STE 280",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500219322",
            "telephone_number": "515-639-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 SE DELAWARE AVE STE 280",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500219322",
            "telephone_number": "515-639-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "DENVER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "106903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.