NPIMap

Organization Active NPI

Foster Orthodontics, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Beaufort, SC
National Provider Identifier
1124554142
Registry record updated Dec 1, 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
1055 Ribaut Road Building 20 Ste a
Beaufort, SC 29902-5423
Phone
(843) 524-6363
Fax
(843) 522-9735
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Authorized official

Name
Ms. Jennifer A Snow
Title
Credentialing Coordinator
Phone
(404) 410-1340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1055 Ribaut Road Building 20 Ste a
Beaufort, SC 29902-5423

Mailing address

1055 Ribaut Road Building 20 Ste a
Beaufort, SC 29902-6187
Phone (843) 524-6363

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

Locations

1274 Ribaut Rd
Beaufort, SC 29902
Phone (843) 524-6363

1055 Ribaut Rd
Ste 20A
Beaufort, SC 29902
Phone (843) 379-9933

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1124554142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 RIBAUT ROAD BUILDING 20 STE A",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026187",
            "telephone_number": "843-524-6363",
            "fax_number": "843-522-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 RIBAUT ROAD BUILDING 20 STE A",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025423",
            "telephone_number": "843-524-6363",
            "fax_number": "843-522-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER ORTHODONTICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "404-410-1340",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.