NPIMap

Organization Active NPI

Foster Orthodontics, PA

Doing business as Keith Street Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Anderson, SC
National Provider Identifier
1306461686
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
FOSTER ORTHODONTICS, PA
Doing business as
Keith Street Orthodontics
Practice address
110 Buford Ave
Anderson, SC 29621-3314
Phone
(864) 224-2526
Fax
(864) 224-2855
NPI assigned
Jun 11, 2020
Last updated
Jun 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Jennifer A Cline
Title
Credentialing Specialist
Phone
(404) 410-1340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

110 Buford Ave
Anderson, SC 29621-3314

Mailing address

110 Buford Ave
Anderson, SC 29621-3314
Phone (864) 224-2526

Other names 1

  • Keith Street Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Foster Orthodontics PA14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1306461686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BUFORD AVE",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213314",
            "telephone_number": "864-224-2526",
            "fax_number": "864-224-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BUFORD AVE",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213314",
            "telephone_number": "864-224-2526",
            "fax_number": "864-224-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER ORTHODONTICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "404-410-1340"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keith Street Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.