Individual provider Active NPI

Kiersten Elizabeth Foreback, D.C.

  • Chiropractor
  • New Castle, PA
National Provider Identifier
1073973525
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011118 Issued in PA
Practice address
2656 Wilmington Rd
New Castle, PA 16105-1547
Phone
(724) 202-6490
Fax
(724) 202-6959
NPI assigned
Feb 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011118 PA Primary

Addresses

Primary practice location

2656 Wilmington Rd
New Castle, PA 16105-1547

Mailing address

2656 Wilmington Rd
New Castle, PA 16105-1547
Phone (724) 202-6490

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
DC011118PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Physical Therapy and Sports Medicine LLC PastSince Aug 25, 2014 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": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1073973525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 WILMINGTON RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051547",
            "telephone_number": "724-202-6490",
            "fax_number": "724-202-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 WILMINGTON RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051547",
            "telephone_number": "724-202-6490",
            "fax_number": "724-202-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREBACK",
        "first_name": "KIERSTEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.