NPIMap

Organization Active NPI

Foster Orthodontics, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Summerville, SC
National Provider Identifier
1104583343
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
FOSTER ORTHODONTICS, PA
Practice address
953 Orangeburg Rd Ste a
Summerville, SC 29483-8941
Phone
(843) 281-2001
Fax
(843) 281-2002
NPI assigned
Nov 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Jennifer A Cline
Title
Credentialing Specialist
Phone
(678) 986-7116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

953 Orangeburg Rd Ste a
Summerville, SC 29483-8941

Mailing address

953 Orangeburg Rd Ste a
Summerville, SC 29483-8941
Phone (843) 281-2001

National Provider Directory

National Provider Directory
Tax ID family
Foster Orthodontics PA14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1104583343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 ORANGEBURG RD STE A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294838941",
            "telephone_number": "843-281-2001",
            "fax_number": "843-281-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 ORANGEBURG RD STE A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294838941",
            "telephone_number": "843-281-2001",
            "fax_number": "843-281-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER ORTHODONTICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "678-986-7116"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.