Individual provider Active NPI

Tyger Foster, D.D.S.

  • Pediatric Dentistry
  • Pittsford, NY
National Provider Identifier
1164515557
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
050773-1 Issued in NY
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02635096MedicaidNY
70456TFOtherNYEXCELLUS 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

LicenseStateTypeSpecialty
050773-1NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Pediatric Dentistry PLLC Pediatric Dentistry CurrentSince Sep 5, 2021 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.

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.

Verify at the official NPI Registry.