Active NPI
Fredrick L Foster, D.C.
- Rehabilitation Chiropractor
- Florissant, MO
National Provider Identifier
1508159104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 2011012152
- 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
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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12437 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parker University | Current | 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
- 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.
-
- Chiropractor
- Dallas, TX
- NPI 1669582680
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
- Jada L Fonville-Simmons
- For the Love of Helen Mae LLC
- Shemekia Nicole Ford, DNP, FNP-C
- Mildred Elizabeth Fortune-Gilpin, MSW, LCSW
- Patricia Ann Foster-Staples, MSN, CPNP
- Four Hearts Living Services LLC
- Kimberly H Foust, MD
- Dionne R Fowler
- Kathy Marie Fowler, MA LPC
- Veeda L. Fowler, MA, LCPC, LPC, NCC
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.