Organization Active NPI

Foss Chiropractic PC

  • Clinic/Center
  • Libby, MT
National Provider Identifier
1710143540
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FOSS CHIROPRACTIC PC
Practice address
1021 Dakota Ave
Libby, MT 59923-2207
Phone
(406) 293-8736
Fax
(406) 293-8737
NPI assigned
Jul 31, 2008
Last updated
Sep 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Authorized official

Name
Dr. Scott M Foss, DCNPI 1215950464
Title
Owner/President
Phone
(406) 293-8736

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
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1021 Dakota Ave
Libby, MT 59923-2207

Mailing address

PO Box 1528
Libby, MT 59923-1528
Phone (406) 293-8736

Other identifiers 4

IdentifierTypeStateIssuer
P00314059OtherMTRAIL ROAD MEDICARE
612577600OtherMTUS DEPARTMENT OF LABOR
0000040643OtherMTBLUE CROSS/ BLUE SHIELD
0164798MedicaidMT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080827000009 MT Part B Supplier - Clinic/Group Practice 9830264811 Receives reassigned benefits from 1 practitioner
Practice locations: Libby, MT

National Provider Directory

National Provider Directory

Locations

1021 Dakota Ave
Libby, MT 59923
Phone (406) 293-8736

22 Collins Ave
Libby, MT 59923
Phone (406) 293-8736

Practitioners & affiliated clinicians

Practitioners 2

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": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1710143540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1528",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599231528",
            "telephone_number": "406-293-8736",
            "fax_number": "406-293-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 DAKOTA AVE",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232207",
            "telephone_number": "406-293-8736",
            "fax_number": "406-293-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSS CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "FOSS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "406-293-8736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00314059",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "612577600",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "0000040643",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164798",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Libby, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.