Ari Reuben Forgosh, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DS031179L Issued in PA

Practice address

1150 Glenlivet Dr
Suite C-38
Allentown, PA 18106-3112

Phone

(610) 395-0980

Fax

(484) 223-1933

NPI assigned

Dec 13, 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 PA

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Green Hills Family & Cosmetic Dentistry, P.C.

  • General Practice Dentistry
  • Allentown, PA
  • NPI 1780745471
  NPD (past) Authorized official

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1265593941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 GLENLIVET DR",
            "address_2": "STE C38",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181063123",
            "telephone_number": "610-395-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 GLENLIVET DR",
            "address_2": "SUITE C-38",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181063112",
            "telephone_number": "610-395-0980",
            "fax_number": "484-223-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORGOSH",
        "first_name": "ARI",
        "middle_name": "REUBEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS031179L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanner Folster, DO
• Denise R Fontana, NP
• Stephen Perry Fooskas, MD
• Louise Elizabeth Foote, LSW, CAADC, CCPG
• Annakaye Kimberly Foreste, RN
• Angela V. Formaz, MS, ATC
• Kelly Susan Fortner, DPT
• Forward Thinking Fitness LLC (Forward Thinking Fitness)
• Brian Foster, PHARMD
• Hailie Foster, PA-C

• Dentist in Allentown, PA
• Providers in Allentown, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.