Active NPI
Stephen Alan Foster, D.D.S.
- Dentist
- Mt Juliet, TN
National Provider Identifier
1508877465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS 4633
- Practice address
- 11316 Lebanon Rd
Mt Juliet, TN 37122-5504 - Phone
- (615) 754-2295
- Fax
- (615) 758-6565
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS 4633 | TN | Primary |
Addresses
Primary practice location
11316 Lebanon Rd
Mt Juliet, TN 37122-5504
Mailing address
11316 Lebanon Rd
Mt Juliet, TN 37122-5504
Phone (615) 754-2295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161202000291 | TN | Order and Referring Only - Other (Non-Physician) | 8921388216 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS 4633 | TN | MD | Dentist |
| 4633 | TN | MD | Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Dental Care of TN, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Mount Juliet, TN
- NPI 1447668546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508877465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11316 LEBANON RD",
"city": "MT JULIET",
"state": "TN",
"postal_code": "371225504",
"telephone_number": "615-754-2295",
"fax_number": "615-758-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11316 LEBANON RD",
"city": "MT JULIET",
"state": "TN",
"postal_code": "371225504",
"telephone_number": "615-754-2295",
"fax_number": "615-758-6565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "STEPHEN",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS 4633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Juliet, TN
Sources for this page
- 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.