James M Fogo Sr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3448 Issued in TN

Practice address

4933 Brainerd Rd
Chattanooga, TN 37411-3902

Phone

(423) 899-1948

Fax

(423) 855-5905

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Fogo and Fogo DDS Associated

  • General Practice Dentistry
  • Chattanooga, TN
  • NPI 1548344880
  NPD (past) Authorized official
• Peak Family Dentistry PLLC

  • Dental Clinic/Center
  • Chattanooga, TN
  • NPI 1285244087
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235213646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 MILL RACE DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636844",
            "telephone_number": "423-238-9513",
            "fax_number": "423-238-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4933 BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374113902",
            "telephone_number": "423-899-1948",
            "fax_number": "423-855-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGO",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "3448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Focus Healthcare of Tennessee
• Focus Psychiatric Services PC
• Nia Malene Foderingham, MD
• Andrea Fogg
• Fogo and Fogo DDS Associated
• Maria Danielle Foley, NURSE PRACTITIONER
• James Edmund Folkening, MD
• Arend Folkens, RN
• Lauren Folkens, PA-C
• Debra Fonseca, ARNP-C

• General Practice Dentistry in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• General Practice Dentistry in Tennessee

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.