Active NPI
MJ Doyle Inc
- Chiropractor
- Highland, IN
National Provider Identifier
1669628400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08000890A
- Legal business name
- MJ DOYLE INC
- Practice address
- 9521 Indianapolis Blvd Ste L
Highland, IN 46322-2641 - Phone
- (219) 838-9000
- Fax
- (219) 838-3316
- NPI assigned
- Aug 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary J Doyle, D.C.
- Title
- Owner
- Phone
- (219) 838-9000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08000890A | IN | Primary |
Addresses
Primary practice location
9521 Indianapolis Blvd Ste L
Highland, IN 46322-2641
Mailing address
9521 Indianapolis Blvd Ste L
Highland, IN 46322-2641
Phone (219) 838-9000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100215000 | Medicaid | IN | |
| 350051527 | Other | IN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9521 Indianapolis Blvd
Ste L
Highland, IN 46322
Phone (219) 838-9000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Highland, IN
- NPI 1841285525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681171200000",
"number": "1669628400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9521 INDIANAPOLIS BLVD STE L",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463222641",
"telephone_number": "219-838-9000",
"fax_number": "219-838-3316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9521 INDIANAPOLIS BLVD STE L",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463222641",
"telephone_number": "219-838-9000",
"fax_number": "219-838-3316"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MJ DOYLE INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-12",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A",
"authorized_official_last_name": "DOYLE",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "219-838-9000",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IN",
"license": "08000890A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100215000",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350051527",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Highland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.