Individual provider Active NPI

Jeffrey L Foster, D.C.

  • Chiropractor
  • Eugene, OR
National Provider Identifier
1508924523
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3697 Issued in OR
Practice address
825 Monroe St Ste 4
Eugene, OR 97402-5176
Phone
(503) 407-5265
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3697 OR Primary

Addresses

Primary practice location

825 Monroe St Ste 4
Eugene, OR 97402-5176

Mailing address

825 Monroe St Ste 4
Eugene, OR 97402-5176
Phone (503) 407-5265

Other practice location 1

492 E 13th Ave
#200
Eugene, OR 97401-4268
Phone (503) 407-5265

Other identifiers 1

IdentifierTypeStateIssuer
3697OtherOROREGON STATE BOARD LICENSE NUMBER

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
3697ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Foster Chiropractic Clinic, LLC Chiropractor Current Accepting new patients
Towne Chiropractic Clinic P.C. Chiropractor PastSince May 2, 2016 Accepting new patients

Locations

825 Monroe St
Ste 4
Eugene, OR 97402
Phone (503) 407-5265

Organizations & group practices 2

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1508924523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 MONROE ST STE 4",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974025176",
            "telephone_number": "503-407-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 MONROE ST STE 4",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974025176",
            "telephone_number": "503-407-5265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "492 E 13th Ave",
            "address_2": "#200",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974014268",
            "country_code": "US",
            "telephone_number": "503-407-5265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON STATE BOARD LICENSE NUMBER",
            "identifier": "3697",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.