Individual provider Active NPI

Jack B. Foughty, D.C.

  • Chiropractor
  • North Canton, OH
National Provider Identifier
1538221445
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
850 Issued in OH
Practice address
6822 Whipple Ave NW
North Canton, OH 44720-7336
Phone
(330) 499-0147
Fax
(330) 499-8148
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 850 OH Primary

Addresses

Primary practice location

6822 Whipple Ave NW
North Canton, OH 44720-7336

Mailing address

6822 Whipple Ave NW
North Canton, OH 44720-7336
Phone (330) 499-0147

Other identifiers 1

IdentifierTypeStateIssuer
0525168MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120316000322 OH Practitioner - Chiropractic 2860651478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6822 Whipple Ave NW
North Canton, OH 44720-7336
Phone (330) 499-0147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
850OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cain Chiropractic Inc Chiropractor CurrentSince Sep 26, 2012 Accepting new patients
Foughty Chiropractic Clinic Inc Chiropractor CurrentSince Feb 26, 1981 Accepting new patients

Locations

6822 Whipple Ave NW
North Canton, OH 44720
Phone (216) 499-0147

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1538221445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6822 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207336",
            "telephone_number": "330-499-0147",
            "fax_number": "330-499-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6822 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207336",
            "telephone_number": "330-499-0147",
            "fax_number": "330-499-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUGHTY",
        "first_name": "JACK",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0525168",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.