Individual provider Active NPI

Stephen Michael Doyle, D.C.

  • Rehabilitation Chiropractor
  • Fort Washington, MD
National Provider Identifier
1881713501
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
S01854 Issued in MD
Practice address
12805 Old Fort Rd
Suite 202
Fort Washington, MD 20744-2874
Phone
(301) 292-1960
Fax
(301) 292-1068
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X S01854 MD Primary

Addresses

Primary practice location

12805 Old Fort Rd
Suite 202
Fort Washington, MD 20744-2874

Mailing address

12805 Old Fort Rd
Suite 202
Fort Washington, MD 20744-2874
Phone (301) 292-1960

Other identifiers 1

IdentifierTypeStateIssuer
64291901OtherMDCAREFIRST

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
S01854MDMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Doyle Chiropractic, LLC Past 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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881713501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12805 OLD FORT RD",
            "address_2": "SUITE 202",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207442874",
            "telephone_number": "301-292-1960",
            "fax_number": "301-292-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12805 OLD FORT RD",
            "address_2": "SUITE 202",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207442874",
            "telephone_number": "301-292-1960",
            "fax_number": "301-292-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "S01854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "64291901",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.