Diana Jane Elizabeth Doyle, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1001505-15 Issued in WI

Practice address

244 Division St
Park Falls, WI 54552

Phone

(715) 762-2188

NPI assigned

Jul 9, 2015

Last updated

Sep 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1891178794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6890 PERIMETER DR STE A",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168047",
            "telephone_number": "614-761-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 DIVISION ST",
            "city": "PARK FALLS",
            "state": "WI",
            "postal_code": "54552",
            "telephone_number": "715-762-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "DIANA",
        "middle_name": "JANE ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.024562",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1001505-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Grace Corbett
• James A Corbett, R.PH.
• Jeffrey C Craig, MD
• Louay O Danial, MD
• Tracy Davis
• Patricia A Entler, M.S, DRL LICENSE
• Family Health Center of Marshfield Inc (Family Health Center - Park Falls Dental Center)
• Flambeau Hospital Inc (MMC - Park Falls Outreach Services)
• Flambeau Hospital Inc (Marshfield Clinic Dispensing)
• Flambeau Hospital Inc (Marshfield Medical Center - Park Falls)

• General Practice Dentistry in Park Falls, WI
• Providers in Park Falls, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.