Active NPI
Shad Alan Foster, D.C.
- Chiropractor
- Van Wert, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2440
- Practice address
- 10963 Van Wert Decatur Rd
Van Wert, OH 45891-9211 - Phone
- (419) 238-6686
- Fax
- (419) 238-6201
- NPI assigned
- Aug 31, 2006
- Last updated
- May 11, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2440 | OH | Primary |
| Chiropractor | 111N00000X | 08002137A | IN |
Addresses
Primary practice location
10963 Van Wert Decatur Rd
Van Wert, OH 45891-9211
Mailing address
10963 Van Wert Decatur Rd
Van Wert, OH 45891-9211
Phone (419) 238-6686
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9312811 | Other | OH | PTAN |
| H536770 | Other | OH | GROUP PTAN |
| H536771 | Other | OH | INDIVIDUAL PTAN |
| 2527573 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10963 Van Wert Decatur Rd
Van Wert, OH 45891-9211
Phone 4192386686110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08002137A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fuerst Family Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Total Body Chiropractic Center, LLC | Chiropractor | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Ft Recovery Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
| Back to Health, LLC | Chiropractor | Past | Accepting new patients |
| Bultemeyer Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
Locations
10963 Van Wert Decatur Rd
Van Wert, OH 45891
Phone (419) 238-6686
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Van Wert, OH
- NPI 1861157836
-
- Chiropractor
- Van Wert, OH
- NPI 1588600597
-
- Chiropractor
- Fort Recovery, OH
- NPI 1356441133
-
- Chiropractor
- Elida, OH
- NPI 1174621841
-
- Chiropractor
- Decatur, IN
- NPI 1366549586
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
dba Back to Health Chiropractic
- Chiropractor
- Decatur, IN
- NPI 1679848329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1750493375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10963 VAN WERT DECATUR RD",
"city": "VAN WERT",
"state": "OH",
"postal_code": "458919211",
"telephone_number": "419-238-6686",
"fax_number": "419-238-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10963 VAN WERT DECATUR RD",
"city": "VAN WERT",
"state": "OH",
"postal_code": "458919211",
"telephone_number": "419-238-6686",
"fax_number": "419-238-6201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "SHAD",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "2440",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002137A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "9312811",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "H536770",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PTAN",
"identifier": "H536771",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2527573",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Van Wert, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.