Individual provider Active NPI

William Stephen Foland, D.C.

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1811089501
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8793 Issued in FL
Practice address
11363 San Jose Blvd Ste 2
Jacksonville, FL 32223-7957
Phone
(904) 288-8993
Fax
(904) 288-8995
NPI assigned
Sep 29, 2006
Last updated
Dec 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8793 FL Primary

Addresses

Primary practice location

11363 San Jose Blvd Ste 2
Jacksonville, FL 32223-7957

Mailing address

12428 San Jose Blvd
Suite 2
Jacksonville, FL 32223-8616
Phone (904) 288-8993

Other identifiers 1

IdentifierTypeStateIssuer
3814971 00MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090810000539 FL Practitioner - Chiropractic 9830243831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Foland Chiropractic and Spa, Inc.Group PAC ID 5496800575, 2 clinicians

Practice addresses (Care Compare)

11363 San Jose Blvd
Suite 102
Jacksonville, FL 32223-7958
Phone (904) 288-8993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foland Chiropractic & Spa, Inc. Chiropractor CurrentSince Apr 22, 2009 Accepting new patients
St. John's Integrated Health, Inc. PastSince Oct 1, 2020 Accepting new patients

Locations

11363 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 288-8993

12428 San Jose Blvd
Ste 2
Jacksonville, FL 32223
Phone (904) 288-8993

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1811089501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12428 SAN JOSE BLVD",
            "address_2": "SUITE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238616",
            "telephone_number": "904-288-8993",
            "fax_number": "904-288-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11363 SAN JOSE BLVD STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237957",
            "telephone_number": "904-288-8993",
            "fax_number": "904-288-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLAND",
        "first_name": "WILLIAM",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3814971 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.