Individual provider Active NPI

Carl Douglas Foster, D.D.S.

  • Dentist
  • El Paso, TX
National Provider Identifier
1487657011
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11802 Issued in TX
Practice address
9314 Juancitido Lane
Ysleta del Sur Pueblo Community Health Center
El Paso, TX 79907
Phone
(915) 858-1076
Fax
(915) 858-2367
NPI assigned
May 27, 2005
Last updated
Sep 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11802 TX Primary
Public Health Dentistry 1223D0001X 11802 TX

Addresses

Primary practice location

9314 Juancitido Lane
Ysleta del Sur Pueblo Community Health Center
El Paso, TX 79907

Mailing address

222 S. Campbell St.
El Paso, TX 79901-2838
Phone (915) 543-3580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11802TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1487657011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S. CAMPBELL ST.",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799012838",
            "telephone_number": "915-543-3580",
            "fax_number": "915-543-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9314 JUANCITIDO LANE",
            "address_2": "YSLETA DEL SUR PUEBLO COMMUNITY HEALTH CENTER",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79907",
            "telephone_number": "915-858-1076",
            "fax_number": "915-858-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "CARL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "11802",
            "primary": true
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "TX",
            "license": "11802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.