Individual provider Active NPI

Edward Foster, D.C.

  • Chiropractor
  • Anchorage, AK
National Provider Identifier
1790827806
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
242 Issued in AK
Practice address
4000 W Dimond Blvd # 4
Anchorage, AK 99502-1401
Phone
(907) 243-0660
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 242 AK Primary

Addresses

Primary practice location

4000 W Dimond Blvd # 4
Anchorage, AK 99502-1401

Mailing address

4000 W Dimond Blvd # 4
Anchorage, AK 99502-1401

Other identifiers 1

IdentifierTypeStateIssuer
CH0242MedicaidAK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151002002146 AK Practitioner - Chiropractic 1557679032 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
242AKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro One Wellness Center of Eagle River LLC Chiropractor CurrentSince Jul 8, 2023 Accepting new patients

Locations

11431 Business Blvd
Ste 601
Eagle River, AK 99577
Phone (907) 694-7700

Organizations & group practices 3

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1790827806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 W DIMOND BLVD # 4",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995021401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W DIMOND BLVD # 4",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995021401",
            "telephone_number": "907-243-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "EDWARD",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH0242",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.