Thomas Raleigh Forrest Jr., DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

NC2827 Issued in NC

Practice address

102 W 32ND St
Lumberton, NC 28358-2925

Phone

(910) 738-7710

Fax

(910) 738-7749

NPI assigned

Nov 8, 2006

Last updated

May 4, 2022By 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 4

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Doyle Chiropractic, PLLC

  • Chiropractor
  • Huntersville, NC
  • NPI 1467533752
  Medicare reassignment NPD
• Cross Creek Chiropractic Clinic PA

  • Chiropractor
  • Fayetteville, NC
  • NPI 1891890869
  NPD (past)
• Jeffrey K. Baldwin

  dba Baldwin Chiropractic Center

  • Chiropractor
  • Jefferson, NC
  • NPI 1073782769

  Sports Physician

  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1417026774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W 32ND ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582925",
            "telephone_number": "910-738-7710",
            "fax_number": "910-738-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W 32ND ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582925",
            "telephone_number": "910-738-7710",
            "fax_number": "910-738-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "THOMAS",
        "middle_name": "RALEIGH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NC",
            "license": "NC2827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "618544",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890843U",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "B1429",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0843U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Peter Thomas Fortkort, MD
• Katharine Nicole Foster, DNP, APRN, FNP, ENP
• Fountain6 Investment Company LLC (Twin Oaks Pharmacy)

• Sports Physician Chiropractor in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Sports Physician Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.