Active NPI
Amy L Foerster, DC
- Chiropractor
- Kenosha, WI
National Provider Identifier
1003921073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3968-012
- Practice address
- 11300 75TH St
Kenosha, WI 53142-7308 - Phone
- (262) 909-1039
- Fax
- (262) 843-8218
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 3968-012 | WI | Primary |
Addresses
Primary practice location
11300 75TH St
Kenosha, WI 53142-7308
Mailing address
23521 82ND PL
Salem, WI 53168-9037
Phone (262) 909-1039
Other names 1
- Amy L Glas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11300 75TH St
Suite 101
Kenosha, WI 53142-7352
Phone (262) 925-2890
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3968-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Chiropractic, S.C. | Past | Accepting new patients |
Networks
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
- IL HMO C-SNP
- IL PPO Downstate
Organizations & group practices 2
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.
-
- Chiropractor
- Kenosha, WI
- NPI 1043579485
-
- Orthopedic Chiropractor
- Twin Lakes, WI
- NPI 1578629424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335571200000",
"number": "1003921073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23521 82ND PL",
"city": "SALEM",
"state": "WI",
"postal_code": "531689037",
"telephone_number": "262-909-1039",
"fax_number": "262-843-8218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11300 75TH ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531427308",
"telephone_number": "262-909-1039",
"fax_number": "262-843-8218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOERSTER",
"first_name": "AMY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2012-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3968-012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "GLAS",
"middle_name": "L",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2012; 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.