Active NPI
Mica Vonne Foster, DC
- Chiropractor
- The Dalles, OR
National Provider Identifier
1306981220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3612
- Practice address
- 508 Washington St
The Dalles, OR 97058-2232 - Phone
- (541) 993-7003
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3612 | OR | Primary |
Addresses
Primary practice location
508 Washington St
The Dalles, OR 97058-2232
Mailing address
1012 Cascade Ave
Hood River, OR 97031-1402
Phone (541) 993-7003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3612 | Other | OR | OREGON LICENSE NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3612 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306981220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 CASCADE AVE",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970311402",
"telephone_number": "541-993-7003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 WASHINGTON ST",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970582232",
"telephone_number": "541-993-7003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "MICA",
"middle_name": "VONNE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "3612",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON LICENSE NUMBER",
"identifier": "3612",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in The Dalles, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.