Active NPI
David Jones Foulkes, DAVID FOULKES
- Dentist
- Janesville, WI
National Provider Identifier
1629262761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5000628-015
- Practice address
- 4425 N Forest Hills Blvd
Janesville, WI 53545-8938 - Phone
- (608) 752-4732
- NPI assigned
- Aug 31, 2007
- Last updated
- Aug 31, 2007
- 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 | 5000628-015 | WI | Primary |
Addresses
Primary practice location
4425 N Forest Hills Blvd
Janesville, WI 53545-8938
Mailing address
4425 N Forest Hills Blvd
Janesville, WI 53545-8938
Phone (608) 752-4732
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5000628-015 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188518400000",
"number": "1629262761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 N FOREST HILLS BLVD",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535458938",
"telephone_number": "608-752-4732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 N FOREST HILLS BLVD",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535458938",
"telephone_number": "608-752-4732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOULKES",
"first_name": "DAVID",
"middle_name": "JONES",
"name_prefix": "Dr.",
"credential": "DAVID FOULKES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-31",
"last_updated": "2007-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "5000628-015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.