Sir Hao Foo, D.D.S., M.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

20931 Issued in MA

Practice address

372 Chandler St
Suite 10
Worcester, MA 01602-3300

Phone

(508) 754-5226

Fax

(508) 754-5228

NPI assigned

Mar 25, 2007

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 MA

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

Credentials

Master of Science

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 and National Provider Directory roles.

• Chandler Dental PC

  • Prosthodontics
  • Worcester, MA
  • NPI 1710043385
  NPD (past) Authorized official

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306963111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 CHANDLER ST",
            "address_2": "SUITE 10",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016023300",
            "telephone_number": "508-754-5226",
            "fax_number": "508-754-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 CHANDLER ST",
            "address_2": "SUITE 10",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016023300",
            "telephone_number": "508-754-5226",
            "fax_number": "508-754-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOO",
        "first_name": "SIR",
        "middle_name": "HAO",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "20931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmond Michael Fontaine Jr.
• Kristine M Fontaine, PT
• Lynn Fontaine
• Sherylin Fontaine
• Nancy M. Fontneau, MD
• Bonnie Foote-Kassin, RN BSN
• Anna Footit
• For You Healthcare LLC
• Emma Kathryn Forbes, PT, DPT
• Katherine Forcier, LCSW

• Prosthodontics in Worcester, MA
• Providers in Worcester, MA by specialty
• Prosthodontics in Massachusetts

• 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.