Organization Active NPI

Forster Healthcare Associates PA

  • Chiropractor
  • Austin, TX
National Provider Identifier
1518046580
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5724 Issued in TX
Legal business name
FORSTER HEALTHCARE ASSOCIATES PA
Practice address
12414 Alderbrook Dr
Ste 250
Austin, TX 78758-2596
Phone
(512) 834-2355
Fax
(512) 834-0477
NPI assigned
Nov 2, 2006
Last updated
Dec 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Dr. Simon J Forster, DCNPI 1811997364
Title
President
Phone
(512) 834-2355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5724 TX Primary
Physical Therapist 225100000X 1098549 TX

Addresses

Primary practice location

12414 Alderbrook Dr
Ste 250
Austin, TX 78758-2596

Mailing address

12414 Alderbrook Dr
Ste 250
Austin, TX 78758-2596
Phone (512) 834-2355

Other identifiers 1

IdentifierTypeStateIssuer
5724OtherTXLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140925000831 TX Part B Supplier - Clinic/Group Practice 8820218845 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

12414 Alderbrook Dr
Ste 250
Austin, TX 78758
Phone (512) 834-2355

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1518046580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12414 ALDERBROOK DR",
            "address_2": "STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582596",
            "telephone_number": "512-834-2355",
            "fax_number": "512-834-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12414 ALDERBROOK DR",
            "address_2": "STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582596",
            "telephone_number": "512-834-2355",
            "fax_number": "512-834-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSTER HEALTHCARE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "FORSTER",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-834-2355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5724",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1098549",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5724",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.