Amy Jo Fournier, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

6617 Issued in NE

Practice address

1540 S 70TH St
Suite 201
Lincoln, NE 68506-1575

Phone

(402) 486-4744

NPI assigned

Apr 27, 2010

Sex

Female

Sole proprietor

Yes

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 MO

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

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1467779660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 S 70TH ST",
            "address_2": "SUITE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061575",
            "telephone_number": "402-486-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 S 70TH ST",
            "address_2": "SUITE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061575",
            "telephone_number": "402-486-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURNIER",
        "first_name": "AMY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Meier Fountain, DPM
• Garrett Fountain
• Scott Danial Fountain
• Four Star Drug of Bethany Inc (Four Star Drug)
• Four Star Drug of Lincoln Nebraska Inc (Four Star Drug)
• Linda Lea Fowle
• Dante Fowler
• Jennifer Fowler
• Mark Fowler
• Maureen A Fowler

• Dentist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.