Individual provider Active NPI

David A Foster, D.D.S.

  • Dentist
  • Mount Juliet, TN
National Provider Identifier
1073809075
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9303 Issued in TN
Practice address
11316 Lebanon Rd
Mount Juliet, TN 37122-5504
Phone
(615) 754-2295
Fax
(615) 758-6565
NPI assigned
Jun 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9303 TN Primary
General Practice Dentistry 1223G0001X 9303 TN

Addresses

Primary practice location

11316 Lebanon Rd
Mount Juliet, TN 37122-5504

Mailing address

11316 Lebanon Rd
Mount Juliet, TN 37122-5504
Phone (615) 754-2295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150803001505 TN Order and Referring Only - DentistPractitioner - Dentist 5698089761

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1073809075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11316 LEBANON RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371225504",
            "telephone_number": "615-754-2295",
            "fax_number": "615-758-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11316 LEBANON RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371225504",
            "telephone_number": "615-754-2295",
            "fax_number": "615-758-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9303",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9303",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

Verify at the official NPI Registry.