Active NPI
Tyger Foster, D.D.S.
- Pediatric Dentistry
- Pittsford, NY
National Provider Identifier
1164515557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 050773-1
- Practice address
- 145 Sullys TRL
Suite 1
Pittsford, NY 14534-4561 - Phone
- (585) 381-2190
- Fax
- (585) 381-2198
- NPI assigned
- Sep 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 050773-1 | NY | Primary |
Addresses
Primary practice location
145 Sullys TRL
Suite 1
Pittsford, NY 14534-4561
Mailing address
145 Sullys TRL
Suite 1
Pittsford, NY 14534-4561
Phone (585) 381-2190
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02635096 | Medicaid | NY | |
| 70456TF | Other | NY | EXCELLUS BC/BS |
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 |
|---|---|---|---|
| 050773-1 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester Pediatric Dentistry PLLC | Pediatric Dentistry | Current | Accepting new patients |
Locations
145 Sullys Trl
Ste 1
Pittsford, NY 14534
Phone (585) 381-2190
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Pittsford, NY
- NPI 1972271005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164515557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 SULLYS TRL",
"address_2": "SUITE 1",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145344561",
"telephone_number": "585-381-2190",
"fax_number": "585-381-2198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 SULLYS TRL",
"address_2": "SUITE 1",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145344561",
"telephone_number": "585-381-2190",
"fax_number": "585-381-2198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "TYGER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "050773-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02635096",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS BC/BS",
"identifier": "70456TF",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.