Michael Glenn Foust, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101162 Issued in CA

Practice address

4633 Ingraham St Ste a
San Diego, CA 92109-8713

Phone

(858) 272-3771

NPI assigned

Dec 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1013079722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 INGRAHAM ST STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921098713",
            "telephone_number": "858-272-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 INGRAHAM ST STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921098713",
            "telephone_number": "858-272-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUST",
        "first_name": "MICHAEL",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-16",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.022454",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fountains la Jolla SL, LLC (The Springs at Pacific Regent)
• Four Seasons Sisterhood Licensed Marrriage and Family Therapy, Inc
• Chrystal Marie Fournier, N.P.
• Raelyn Ritchie Fournier, PA-C
• Diana Foust, NP-C
• Nicole Marie Foust, PHARMD
• Jason Fout
• Dewey K Foutz III, PHARMD, PHC
• Ashley Fowler
• Blake Fowler, M.D.

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.