Active NPI
Henry Andrew Foerster, DMD
- Periodontics
- Jbsa Lackland, TX
National Provider Identifier
1003150673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 39452
- Practice address
- 1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638 - Phone
- (210) 292-6990
- NPI assigned
- Nov 20, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN18981 | FL | |
| Periodontics | 1223P0300X | DEN1001822 | DC | |
| Periodontics | 1223P0300X | 39452 | TX | Primary |
Addresses
Primary practice location
1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Mailing address
908 Tuxedo Ave
Alamo Heights, TX 78209-3611
Phone (352) 514-5588
Other practice location 1
11010 W Fm 471 Ste 104
San Antonio, TX 78253-4991
Phone (210) 688-9386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240503001538 | TX | Order and Referring Only - Dentist | 5193165496 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN1001822 | DC | MD | Periodontist |
| DN18981 | FL | MD | Periodontist |
Networks
- TX HMO D-SNP
- NM HMO C-SNP
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1003150673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 TUXEDO AVE",
"city": "ALAMO HEIGHTS",
"state": "TX",
"postal_code": "782093611",
"telephone_number": "352-514-5588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP",
"city": "JBSA LACKLAND",
"state": "TX",
"postal_code": "782365638",
"telephone_number": "210-292-6990"
}
],
"practiceLocations": [
{
"address_1": "11010 W Fm 471 Ste 104",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782534991",
"country_code": "US",
"telephone_number": "210-688-9386",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOERSTER",
"first_name": "HENRY",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-20",
"last_updated": "2024-03-19",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN18981",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "DC",
"license": "DEN1001822",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "39452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jbsa Lackland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.