NPIMap

Organization Active NPI

Dr. Gary Foster DDS

  • Dental Clinic/Center
  • Logan, UT
National Provider Identifier
1114434636
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
145420 Issued in UT
Legal business name
DR. GARY FOSTER DDS
Practice address
110 E 200 N
Logan, UT 84321-4007
Phone
(435) 752-0300
NPI assigned
Jan 5, 2018
Last updated
Jan 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2018

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

Authorized official

Name
Dr. Gary George Foster, DDSNPI 1790820181
Title
Dr/Owner
Phone
(435) 752-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 145420 UT Primary

Addresses

Primary practice location

110 E 200 N
Logan, UT 84321-4007

Mailing address

110 E 200 N
Logan, UT 84321-4007
Phone (435) 752-0300

National Provider Directory

National Provider Directory

Locations

110 E 200 N
Logan, UT 84321
Phone (435) 752-0300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1114434636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 200 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214007",
            "telephone_number": "435-752-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 200 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214007",
            "telephone_number": "435-752-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GARY FOSTER DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "435-752-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "145420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; 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.