NPIMap

Organization Active NPI

Doyle and Doyle SC

  • General Practice Dentistry
  • Fond Du Lac, WI
National Provider Identifier
1720129190
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4211 Issued in WI
Legal business name
DOYLE AND DOYLE SC
Practice address
570 Fond Du Lac Avenue
Fond Du Lac, WI 54935
Phone
(920) 907-1400
Fax
(920) 907-1300
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Dr. Kathleen Doyle Kelly, DDSNPI 1942622337
Title
Pres
Phone
(920) 907-1400

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4211 WI Primary

Addresses

Primary practice location

570 Fond Du Lac Avenue
Fond Du Lac, WI 54935

Mailing address

570 Fond Du Lac Avenue
Fond Du Lac, WI 54935
Phone (920) 907-1400

National Provider Directory

National Provider Directory

Locations

570 Fond du Lac Ave
Fond du Lac, WI 54935
Phone (920) 907-1400

Practitioners & affiliated clinicians

Practitioners 2

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1720129190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 FOND DU LAC AVENUE",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "54935",
            "telephone_number": "920-907-1400",
            "fax_number": "920-907-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 FOND DU LAC AVENUE",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "54935",
            "telephone_number": "920-907-1400",
            "fax_number": "920-907-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOYLE AND DOYLE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "DOYLE KELLY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "920-907-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.