Organization Active NPI

J.C. Forester Inc.

  • Point of Service
  • Chester, VA
National Provider Identifier
1497902670
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
0101050490 Issued in VA
Legal business name
J.C. FORESTER INC.
Practice address
12230 Ironridge Rd Suite D
Chester, VA 23831-1669
Phone
(804) 777-9908
Fax
(804) 777-9056
NPI assigned
Aug 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Debbie M Botts
Title
Office Manager
Phone
(804) 777-9908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 0101050490 VA Primary

Addresses

Primary practice location

12230 Ironridge Rd Suite D
Chester, VA 23831-1669

Mailing address

12230 Iron Bridge Rd Ste D
Chester, VA 23831-1534
Phone (804) 777-9908

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081114000072 VA Part B Supplier - Clinic/Group Practice 4880754340 Receives reassigned benefits from 1 practitioner
Practice locations: Chester, VA

National Provider Directory

National Provider Directory
Tax ID family
J C Forester2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12230 Iron Bridge Rd
Ste D
Chester, VA 23831
Phone (804) 777-9908

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": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1497902670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12230 IRON BRIDGE RD STE D",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311534",
            "telephone_number": "804-777-9908",
            "fax_number": "804-777-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12230 IRONRIDGE RD SUITE D",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311669",
            "telephone_number": "804-777-9908",
            "fax_number": "804-777-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.C. FORESTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "BOTTS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "804-777-9908"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "VA",
            "license": "0101050490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.