Active NPI
Simon John Forster, DC, DABCO
- Orthopedic Chiropractor
- Austin, TX
National Provider Identifier
1811997364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 5724
- Practice address
- 12414 Alderbrook Dr
Ste. 250
Austin, TX 78758-2480 - Phone
- (512) 834-2355
- Fax
- (512) 834-0477
- NPI assigned
- Jul 27, 2005
- Last updated
- Jan 26, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 5724 | TX | Primary |
Addresses
Primary practice location
12414 Alderbrook Dr
Ste. 250
Austin, TX 78758-2480
Mailing address
12414 Alderbrook Dr
Ste. 250
Austin, TX 78758-2480
Phone (512) 834-2355
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 603720 | Other | TX | MEDICARE PTAN |
| 8F9211 | Other | TX | INDIV BCBS # |
| 0011HW | Other | TX | GROUP BCBS # |
| 432327 | Other | TX | ACN # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12414 Alderbrook Dr
Suite 250
Austin, TX 78758-2488
Phone (512) 835-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forster Healthcare Associates PA | Current | Accepting new patients |
Locations
12414 Alderbrook Dr
Ste 250
Austin, TX 78758
Phone (512) 834-2355
Organizations & group practices 1
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
- Austin, TX
- NPI 1518046580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296000000000",
"number": "1811997364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12414 ALDERBROOK DR",
"address_2": "STE. 250",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582480",
"telephone_number": "512-834-2355",
"fax_number": "512-834-0477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12414 ALDERBROOK DR",
"address_2": "STE. 250",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582480",
"telephone_number": "512-834-2355",
"fax_number": "512-834-0477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSTER",
"first_name": "SIMON",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DC, DABCO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-27",
"last_updated": "2011-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "TX",
"license": "5724",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "603720",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIV BCBS #",
"identifier": "8F9211",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP BCBS #",
"identifier": "0011HW",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN #",
"identifier": "432327",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Tiandra Forrester
- Elizabeth Forry
- Jennifer Ann Forsberg, PHD
- Susan Lynn Forsberg, LCSW
- Forster Healthcare Associates PA
- Emma M Forsyth, LPC
- Fort Austin Limited Partnership (Brookdale Westlake Hills)
- Fort Bend Orthopaedic Surgery, PA (texas center for sports medicine and orthopaedic surgery, pa)
- Jacqueline Lanal Fort
- Tamara Fort, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.