Individual provider Active NPI

Matthew Robert Foreman, D.C.

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1417040395
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-004452L Issued in PA
Practice address
2212 Noblestown Rd
Suite 105
Pittsburgh, PA 15205-4126
Phone
(412) 920-1600
Fax
(412) 937-1620
NPI assigned
Oct 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-004452L PA Primary

Addresses

Primary practice location

2212 Noblestown Rd
Suite 105
Pittsburgh, PA 15205-4126

Mailing address

2212 Noblestown Rd
Suite 105
Pittsburgh, PA 15205-4126
Phone (412) 920-1600

Other identifiers 1

IdentifierTypeStateIssuer
0001707926 0002MedicaidPA

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
DC-004452LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Verri Chiropractic Associates, LP Chiropractor CurrentSince Jun 20, 2018 Accepting new patients
Ki Chiropractic LLC Chiropractor Past Accepting new patients
Hope Chiropractic P.C. Chiropractor PastSince Feb 15, 2007 Accepting new patients
Raymond C. Wisniewski, D.C. Chiropractor Past Accepting new patients

Locations

600 Iron City Dr
Pittsburgh, PA 15205
Phone (412) 444-4455

600 Iron City Dr
#A
Pittsburgh, PA 15205
Phone (412) 444-4455

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417040395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 NOBLESTOWN RD",
            "address_2": "SUITE 105",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152054126",
            "telephone_number": "412-920-1600",
            "fax_number": "412-937-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 NOBLESTOWN RD",
            "address_2": "SUITE 105",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152054126",
            "telephone_number": "412-920-1600",
            "fax_number": "412-937-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREMAN",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-004452L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001707926 0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

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.

Verify at the official NPI Registry.