Individual provider Active NPI

Emily Hope Forsgren, DC

  • Chiropractor
  • Lakewood, OH
National Provider Identifier
1245756303
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013124 Issued in IL
Practice address
14805 Detroit Ave Ste 545
Lakewood, OH 44107-3921
Phone
(216) 970-1273
NPI assigned
Aug 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013124 IL Primary

Addresses

Primary practice location

14805 Detroit Ave Ste 545
Lakewood, OH 44107-3921

Mailing address

14805 Detroit Ave Ste 545
Lakewood, OH 44107-3921
Phone (216) 970-1273

Other practice location 1

30 S Michigan Ave
Chicago, IL 60603-3211
Phone (312) 726-1353

Other practice location 2

30 S Michigan Ave
Chicago, IL 60603-3211
Phone (312) 726-1353

Other practice location 3

7111 Brecksville Rd Ste 3
Independence, OH 44131-5350
Phone (216) 952-3830

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
038.013124ILMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1503187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245756303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14805 DETROIT AVE STE 545",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073921",
            "telephone_number": "216-970-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14805 DETROIT AVE STE 545",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073921",
            "telephone_number": "216-970-1273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 S Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606033211",
            "country_code": "US",
            "telephone_number": "312-726-1353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 S Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606033211",
            "country_code": "US",
            "telephone_number": "312-726-1353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7111 Brecksville Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "OH",
            "postal_code": "441315350",
            "country_code": "US",
            "telephone_number": "216-952-3830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORSGREN",
        "first_name": "EMILY",
        "middle_name": "HOPE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.