Active NPI
Benjamin Cole Foster, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Shreveport, LA
National Provider Identifier
1073899001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 6090
- Practice address
- 1914 E 70TH St
Shreveport, LA 71105-5312 - Phone
- (318) 797-8833
- NPI assigned
- Oct 21, 2011
- Last updated
- Oct 21, 2011
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 6090 | LA | Primary |
Addresses
Primary practice location
1914 E 70TH St
Shreveport, LA 71105-5312
Mailing address
620 Southern Trace Pkwy
Shreveport, LA 71106-9323
Phone (318) 458-2067
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6090 | LA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1073899001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 SOUTHERN TRACE PKWY",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711069323",
"telephone_number": "318-458-2067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1914 E 70TH ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055312",
"telephone_number": "318-797-8833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "BENJAMIN",
"middle_name": "COLE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-21",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "LA",
"license": "6090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.