Individual provider Active NPI

Phillip H Doyle, DC

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1659903789
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2041 Issued in NE
Practice address
10809 Elm St
Omaha, NE 68144-4819
Phone
(402) 397-5601
NPI assigned
Feb 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2041 NE Primary

Addresses

Primary practice location

10809 Elm St
Omaha, NE 68144-4819

Mailing address

15332 Cuming St
Omaha, NE 68154-1862
Phone (402) 981-6672

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200303002780 NE Practitioner - Chiropractic 1557798501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Medical Group PCGroup PAC ID 6507137130, 13 clinicians

Practice addresses (Care Compare)

701 Pinnacle Dr
Suite 105
Papillion, NE 68046-6228
Phone (402) 505-7989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2041NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Struebing Family Chiropractic LLC Chiropractor CurrentSince Sep 24, 2023 Accepting new patients
Multicare Medical Group PC CurrentSince Dec 14, 2020 Accepting new patients

Locations

10809 Elm St
Omaha, NE 68144
Phone (402) 397-5601

701 Pinnacle Dr
Ste 105
Papillion, NE 68046
Phone (402) 505-7989

Organizations & group practices 2

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": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1659903789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15332 CUMING ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541862",
            "telephone_number": "402-981-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10809 ELM ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444819",
            "telephone_number": "402-397-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "PHILLIP",
        "middle_name": "H",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "2041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.