Individual provider Active NPI

Douglas L Forsstrom, D.C.

  • Chiropractor
  • Centennial, CO
National Provider Identifier
1922186469
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2444 Issued in CO
Practice address
8100 S. Quebec St.
Suite B17
Centennial, CO 80112-3100
Phone
(303) 770-5666
Fax
(303) 713-1130
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2444 CO Primary

Addresses

Primary practice location

8100 S. Quebec St.
Suite B17
Centennial, CO 80112-3100

Mailing address

8100 S. Quebec Street
Suite B17
Centennial, CO 80112-3100
Phone (303) 770-5666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2444COMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1922186469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 S. QUEBEC STREET",
            "address_2": "SUITE B17",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123100",
            "telephone_number": "303-770-5666",
            "fax_number": "303-713-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 S. QUEBEC ST.",
            "address_2": "SUITE B17",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123100",
            "telephone_number": "303-770-5666",
            "fax_number": "303-713-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSSTROM",
        "first_name": "DOUGLAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.