Organization Active NPI

Forrest Chiropractic Offices, Inc.

  • Chiropractor
  • Tarzana, CA
National Provider Identifier
1225330269
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14038 Issued in CA
Legal business name
FORREST CHIROPRACTIC OFFICES, INC.
Practice address
18740 Ventura Blvd
Suite 301
Tarzana, CA 91356-3366
Phone
(818) 996-4994
Fax
(818) 996-5114
NPI assigned
Nov 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Authorized official

Name
Dr. Alan Forrest, D.C.NPI 1184796377
Title
President/Owner
Phone
(818) 996-4994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 14038 CA Primary

Addresses

Primary practice location

18740 Ventura Blvd
Suite 301
Tarzana, CA 91356-3366

Mailing address

18740 Ventura Blvd
Suite 301
Tarzana, CA 91356-3366
Phone (818) 996-4994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120619000378 CA Part B Supplier - Clinic/Group Practice 5890959027 Receives reassigned benefits from 1 practitioner
Practice locations: Tarzana, CA

National Provider Directory

National Provider Directory

Locations

18740 Ventura Blvd
Ste 301
Tarzana, CA 91356
Phone (818) 776-1661

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1225330269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18740 VENTURA BLVD",
            "address_2": "SUITE 301",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563366",
            "telephone_number": "818-996-4994",
            "fax_number": "818-996-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18740 VENTURA BLVD",
            "address_2": "SUITE 301",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563366",
            "telephone_number": "818-996-4994",
            "fax_number": "818-996-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORREST CHIROPRACTIC OFFICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "818-996-4994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "14038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.