Joseph Forese, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR007433 Issued in GA

Practice address

1415 Barclay Cir SE
Marietta, GA 30060-2943

Phone

(770) 426-2786

Fax

(770) 792-6113

NPI assigned

Apr 28, 2021

Last updated

Apr 28, 2021By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joseph.forese.p1@direct.life.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sherwood Chiropractic Center

  • Chiropractor
  • Decatur, GA
  • NPI 1003097767
  NPD

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1205418233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 IROQUOIS DR NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601227",
            "telephone_number": "706-968-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BARCLAY CIR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602943",
            "telephone_number": "770-426-2786",
            "fax_number": "770-792-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORESE",
        "first_name": "JOSEPH",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CHIR007433",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra M Ford, RN
• Elisabeth Ford
• Megan Ford, PT
• Delphine Fordham, RBT
• Dakotah Rose Forell
• Forever Active Medical, L.L.C.
• Forman Lab & Screening Services
• Jodi Ellen Forman, LCSW
• Symphony Deseray Forman
• Luis Enrique Fornia, DC

• Chiropractor in Marietta, GA
• Providers in Marietta, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.