Richard Boysen Forrest, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

04908 Issued in IA

Practice address

80 23Rd Ave N
Forrest Chiropractic Offices
Clinton, IA 52732-3636

Phone

(563) 242-8026

Fax

(563) 242-0016

NPI assigned

Jan 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: drrichardforrest@forrestchiropracticoffices.myhcdirect.com

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.

• Forrest Chiropractic Offices

  • Chiropractor
  • Clinton, IA
  • NPI 1003895350
  NPD (past) Authorized official

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1790765436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 BREEZY POINT DR",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527323636",
            "telephone_number": "563-241-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 23RD AVE N",
            "address_2": "FORREST CHIROPRACTIC OFFICES",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527323636",
            "telephone_number": "563-242-8026",
            "fax_number": "563-242-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "RICHARD",
        "middle_name": "BOYSEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0196816",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP #",
            "identifier": "12819",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "350045382",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "CJ5186",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID #",
            "identifier": "45-3076673",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA LICENSE #",
            "identifier": "04908",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04899",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kurt Lynn Flathers, ATC
• Larry Flesburg, LMSW
• Donald G Flory, M.D.
• Forrest Chiropractic Offices
• Forrest Chiropractic PC
• Four Anchors Therapy, PLLC
• Kathee Joliene Foxan, LISW
• Emily Franks, PTA
• Ashley Fuller, ARNP
• Angela R Gabel, DC

• All providers in Clinton, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.