NPIMap

Ryan T. Foster, D.C.

Individual provider Active NPI Chiropractor · Hampshire, IL

NPI 1144301615 · NPPES record last updated May 7, 2018

Key facts

NPI
1144301615
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
038-008979 (IL)
Practice address
184 S State St
Hampshire, IL 60140-7000
Phone
(847) 683-0077
Fax
(847) 683-1022
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
038-008979ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro One Wellness Center of Bolingbrook LLC Chiropractor Past Accepting new patients
Gentle Hands Chiropractic, PC Chiropractor Past Accepting new patients
Elite Rehabilitation Institute Braidwood LLC Chiropractor Past
since Apr 1, 2011		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-008979 IL Yes

Addresses

Primary practice location

184 S State St
Hampshire, IL 60140-7000

Mailing address

184 S State St
Hampshire, IL 60140-7000
Phone (847) 683-0077

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 7, 2018.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1144301615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 S STATE ST",
            "city": "HAMPSHIRE",
            "state": "IL",
            "postal_code": "601407000",
            "telephone_number": "847-683-0077",
            "fax_number": "847-683-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 S STATE ST",
            "city": "HAMPSHIRE",
            "state": "IL",
            "postal_code": "601407000",
            "telephone_number": "847-683-0077",
            "fax_number": "847-683-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "RYAN",
        "middle_name": "T.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampshire, IL

All providers in Hampshire, IL · Chiropractor in Illinois

Sources for this page

Verify at the official NPI Registry.