Organization Active NPI

Foster Chiropractic, P.C.

  • Chiropractor
  • Tazwell, TN
National Provider Identifier
1528259470
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2165 Issued in TN
Legal business name
FOSTER CHIROPRACTIC, P.C.
Practice address
2255 Hwy 25E
Suite 2
Tazwell, TN 37879
Phone
(423) 626-2822
NPI assigned
Aug 6, 2007
Last updated
Aug 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Dr. Stephen R. Foster, D.C.NPI 1912964982
Title
Owner/Physician
Phone
(423) 626-2822

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2165 TN Primary

Addresses

Primary practice location

2255 Hwy 25E
Suite 2
Tazwell, TN 37879

Mailing address

736 Gaps Chapel Rd
Sneedville, TN 37869-3407
Phone (423) 626-2822

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071119000401 TN Part B Supplier - Clinic/Group Practice 9133217516 Receives reassigned benefits from 1 practitioner
Practice locations: Tazewell, TN

National Provider Directory

National Provider Directory

Locations

1836 Main St
Tazewell, TN 37879
Phone (423) 626-2822

2255 Highway 25E
Ste 2
Tazewell, TN 37879
Phone (423) 626-0300

Practitioners & affiliated clinicians

Practitioners 1

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": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1528259470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 GAPS CHAPEL RD",
            "city": "SNEEDVILLE",
            "state": "TN",
            "postal_code": "378693407",
            "telephone_number": "423-626-2822",
            "fax_number": "423-626-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 HWY 25E",
            "address_2": "SUITE 2",
            "city": "TAZWELL",
            "state": "TN",
            "postal_code": "37879",
            "telephone_number": "423-626-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "423-626-2822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.