Individual provider Active NPI

Fredrick L Foster, D.C.

  • Rehabilitation Chiropractor
  • Florissant, MO
National Provider Identifier
1508159104
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
2011012152 Issued in MO
Practice address
3533 Dunn Rd Ste 230
Florissant, MO 63033-6761
Phone
(314) 805-0095
NPI assigned
May 16, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 2011012152 MO Primary

Addresses

Primary practice location

3533 Dunn Rd Ste 230
Florissant, MO 63033-6761

Mailing address

3533 Dunn Rd Ste 230
Florissant, MO 63033-6761
Phone (314) 805-0095

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210422002581 TX Practitioner - Chiropractic 1850561887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parker UniversityGroup PAC ID 7810945466, 18 clinicians

Practice addresses (Care Compare)

2600 Electronic LN
Dallas, TX 75220-1216
Phone (972) 438-6932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12437TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Parker University CurrentSince Jan 4, 2021 Accepting new patients

Locations

2540 Walnut Hill Ln
Dallas, TX 75229
Phone (214) 902-3447

2600 Electronic Ln
Dallas, TX 75220
Phone (972) 438-6932

111 S Delaware St
Irving, TX 75060
Phone (214) 438-9355

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23964/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1508159104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 DUNN RD STE 230",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336761",
            "telephone_number": "314-805-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 DUNN RD STE 230",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336761",
            "telephone_number": "314-805-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "FREDRICK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MO",
            "license": "2011012152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.