Individual provider Active NPI

Joseph Marlin Doughty, D.C.

  • Chiropractor
  • Louisville, CO
National Provider Identifier
1689769689
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6463 Issued in CO
Practice address
1124 W Dillon Rd
Suite 1
Louisville, CO 80027-9411
Phone
(303) 900-4150
NPI assigned
Oct 4, 2006
Last updated
Feb 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X011098 NY
Chiropractor 111N00000X 6463 CO Primary
Chiropractor 111N00000X CHIRO006402 GA

Addresses

Primary practice location

1124 W Dillon Rd
Suite 1
Louisville, CO 80027-9411

Mailing address

1124 W Dillon Rd
Suite 1
Louisville, CO 80027-9411
Phone (303) 900-4150

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6463COMDChiropractor
CHIRO006402GAMDChiropractor
X011098NYMDChiropractor
6402GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Glame Chiropractic, Inc Chiropractor Past Accepting new patients
Gideon Chiropractic Incorporated Chiropractor Past Accepting new patients

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, 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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1689769689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 W DILLON RD",
            "address_2": "SUITE 1",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279411",
            "telephone_number": "303-900-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 W DILLON RD",
            "address_2": "SUITE 1",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279411",
            "telephone_number": "303-900-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHTY",
        "first_name": "JOSEPH",
        "middle_name": "MARLIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011098",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6463",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO006402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.