Active NPI
Lindsay Marie Foreman, DMD
- Dentist
- Canton, GA
National Provider Identifier
1215442017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN015546
- Practice address
- 1425 Riverstone Pkwy Unit 200
Canton, GA 30114-5611 - Phone
- (770) 479-0600
- NPI assigned
- Dec 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN015546 | GA | Primary |
Addresses
Primary practice location
1425 Riverstone Pkwy Unit 200
Canton, GA 30114-5611
Mailing address
11102 Creek View CT
Alpharetta, GA 30004-5057
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 |
|---|---|---|---|
| DN015546 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512345600000",
"number": "1215442017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11102 CREEK VIEW CT",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300045057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 RIVERSTONE PKWY UNIT 200",
"city": "CANTON",
"state": "GA",
"postal_code": "301145611",
"telephone_number": "770-479-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOREMAN",
"first_name": "LINDSAY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-04",
"last_updated": "2017-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "GA",
"license": "DN015546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.