Active NPI
Kathy S Doyle, DC
- Chiropractor
- Oakland, CA
National Provider Identifier
1710080908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 18083
- Practice address
- 400 40TH St
Suite C
Oakland, CA 94609-2509 - Phone
- (510) 601-6325
- Fax
- (510) 601-6325
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 18083 | CA | Primary |
Addresses
Primary practice location
400 40TH St
Suite C
Oakland, CA 94609-2509
Mailing address
400 40TH St
Suite C
Oakland, CA 94609-2509
Phone (510) 601-6325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110414000862 | CA | Practitioner - Chiropractic | 8426232448 | Practice locations: Oakland, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
400 40TH St
Suite C
Oakland, CA 94609-2509
Phone (510) 601-6325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18083 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298419200000",
"number": "1710080908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 40TH ST",
"address_2": "SUITE C",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946092509",
"telephone_number": "510-601-6325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 40TH ST",
"address_2": "SUITE C",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946092509",
"telephone_number": "510-601-6325",
"fax_number": "510-601-6325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "KATHY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2011-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "18083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.