Organization Active NPI

Luke a. Foster, DDS, PLLC

  • Dental Clinic/Center
  • Saint Louis Park, MN
National Provider Identifier
1265059885
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LUKE A. FOSTER, DDS, PLLC
Practice address
4047 Brookside Ave
Saint Louis Park, MN 55416-2808
Phone
(952) 924-0709
Fax
(952) 746-3329
NPI assigned
Jun 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Dr. Luke Foster, DDSNPI 1982733341
Title
Owner
Phone
(952) 924-0709

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4047 Brookside Ave
Saint Louis Park, MN 55416-2808

Mailing address

4047 Brookside Ave
Saint Louis Park, MN 55416-2808
Phone (952) 924-0709

National Provider Directory

National Provider Directory

Locations

4047 Brookside Ave
St Louis Park, MN 55416
Phone (612) 823-6483

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1265059885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4047 BROOKSIDE AVE",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554162808",
            "telephone_number": "952-924-0709",
            "fax_number": "952-746-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4047 BROOKSIDE AVE",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554162808",
            "telephone_number": "952-924-0709",
            "fax_number": "952-746-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUKE A. FOSTER, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-924-0709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.