Active NPI
John Alexander Forest III, M.D.
- Otolaryngology Physician
- Carson City, NV
National Provider Identifier
1952361289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 10456
- Practice address
- 2874 N Carson St
Suite 220
Carson City, NV 89706-0177 - Phone
- (775) 883-7666
- Fax
- (775) 883-0115
- NPI assigned
- Mar 23, 2006
- Last updated
- Sep 6, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 10456 | NV | Primary |
Addresses
Primary practice location
2874 N Carson St
Suite 220
Carson City, NV 89706-0177
Mailing address
PO Box 2384
Carson City, NV 89702-2384
Phone (775) 883-7666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100500130 | Medicaid | NV |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10456 | NV | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tahoe Carson Valley Medical Group Inc | Otolaryngology | Past | Accepting new patients |
| Sierra Nevada ENT Associates LTD | Otolaryngology | Past | Accepting new patients |
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.
-
- Otolaryngology Physician
- Carson City, NV
- NPI 1710075437
-
- Family Medicine Physician
- South Lake Tahoe, CA
- NPI 1508865528
Otolaryngology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220659200000",
"number": "1952361289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2384",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897022384",
"telephone_number": "775-883-7666",
"fax_number": "775-883-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2874 N CARSON ST",
"address_2": "SUITE 220",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897060177",
"telephone_number": "775-883-7666",
"fax_number": "775-883-0115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOREST",
"first_name": "JOHN",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2008-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NV",
"license": "10456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100500130",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.