Individual provider Active NPI

Jacob Michael Boyle, D.C.

  • Chiropractor
  • Des Moines, IA
National Provider Identifier
1770005746
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
088326 Issued in IA
Practice address
500 SW 7TH St Ste 205
Des Moines, IA 50309
Phone
(515) 664-5330
NPI assigned
Jul 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 088326 IA Primary

Addresses

Primary practice location

500 SW 7TH St Ste 205
Des Moines, IA 50309

Mailing address

820 Bellflower Dr
Carlisle, IA 50047-3270
Phone (515) 664-5330

Other practice location 1

1770 92nd St Unit 13306
West Des Moines, IA 50266-3240
Phone (515) 664-5330

Other practice location 2

1770 92nd St Unit 13306
West Des Moines, IA 50266-3240
Phone (515) 664-5330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171026000315 IA Practitioner - Chiropractic 7214203876

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Foot and Ankle, LLC PastSince Oct 12, 2017 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770005746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 BELLFLOWER DR",
            "city": "CARLISLE",
            "state": "IA",
            "postal_code": "500473270",
            "telephone_number": "515-664-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SW 7TH ST STE 205",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50309",
            "telephone_number": "515-664-5330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1770 92nd St Unit 13306",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502663240",
            "country_code": "US",
            "telephone_number": "515-664-5330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1770 92nd St Unit 13306",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502663240",
            "country_code": "US",
            "telephone_number": "515-664-5330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "JACOB",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "088326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.