Clyde Edward Foland, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

003475 Issued in MO

Practice address

6110 Howdershell Rd
Hazelwood, MO 63042-1170

Phone

(314) 731-5300

Fax

(314) 731-5300

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073674958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 HOWDERSHELL RD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421170",
            "telephone_number": "314-731-5300",
            "fax_number": "314-731-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 HOWDERSHELL RD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421170",
            "telephone_number": "314-731-5300",
            "fax_number": "314-731-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLAND",
        "first_name": "CLYDE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MO",
            "license": "003475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "277821",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1038020",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AM CHIRO NET",
            "identifier": "645703",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "6392",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHLINK",
            "identifier": "CF1038020",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Rice Fick, D.O.
• First Choice Home Health Care LLC
• Holly Fischer, MA, MAC, BCBA, LBA
• Bernadette Smith Flanery, PTA
• Alexandra Taylor Foggie, CNA,CPR
• Kathleen Jeanette Foland, FNP
• Danielle Frazier, LPC
• Fresh Start Home Care
• Jenny Frisbee, M.A.
• Heather Lenetta Frost, MA, NCC, PLPC

• Nutrition Chiropractor in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• Nutrition Chiropractor in Missouri

• 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.