Organization Active NPI

MJ Doyle Inc

  • Chiropractor
  • Highland, IN
National Provider Identifier
1669628400
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08000890A Issued in IN
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

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Mary J Doyle, D.C.NPI 1841285525
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100215000MedicaidIN
350051527OtherINRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081008000721 IN Part B Supplier - Clinic/Group Practice 9032287669 Receives reassigned benefits from 1 practitioner
Practice locations: Highland, IN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.