Active NPI
Jeffrey Paul Foster, D.D.S., M.S.D.
- Periodontics
- Minnetonka, MN
National Provider Identifier
1033117551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- D10743
- Practice address
- 11601 Minnetonka Mills Rd Ste B40
Minnetonka, MN 55305-5175 - Phone
- (952) 933-1361
- Fax
- (952) 933-9770
- NPI assigned
- Jul 8, 2005
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | D10743 | MN | Primary |
Addresses
Primary practice location
11601 Minnetonka Mills Rd Ste B40
Minnetonka, MN 55305-5175
Mailing address
11601 Minnetonka Mills Rd Ste B40
Minnetonka, MN 55305-5175
Phone (952) 933-1361
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7B016FO | Other | MN | BCBS OF MN |
| 471527262 | Other | MN | DELTA OF MINNESOTA |
| 839878 | Other | PA | UNITED CONCORDIA MILITARY |
| 637214700 | Medicaid | MN |
Other names 1
- Dr. J. Paul Foster
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554163200000",
"number": "1033117551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11601 MINNETONKA MILLS RD STE B40",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553055175",
"telephone_number": "952-933-1361",
"fax_number": "952-933-9770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11601 MINNETONKA MILLS RD STE B40",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553055175",
"telephone_number": "952-933-1361",
"fax_number": "952-933-9770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "JEFFREY",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2019-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MN",
"license": "D10743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN",
"identifier": "7B016FO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA OF MINNESOTA",
"identifier": "471527262",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA MILITARY",
"identifier": "839878",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "637214700",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "J.",
"last_name": "FOSTER",
"middle_name": "PAUL",
"prefix": "DR.",
"credential": "D.D.S., M.S.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.