Individual provider Active NPI

Michael James Foster, DDS

  • General Practice Dentistry
  • Greenbrae, CA
National Provider Identifier
1699870741
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21571 Issued in CA
Practice address
599 Sir Francis Drake Blvd
Suite 306
Greenbrae, CA 94904-1712
Phone
(415) 461-5933
Fax
(415) 461-4897
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21571 CA Primary

Addresses

Primary practice location

599 Sir Francis Drake Blvd
Suite 306
Greenbrae, CA 94904-1712

Mailing address

599 Sir Francis Drake Blvd
Suite 306
Greenbrae, CA 94904-1712
Phone (415) 461-5933

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
21571CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699870741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 SIR FRANCIS DRAKE BLVD",
            "address_2": "SUITE 306",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041712",
            "telephone_number": "415-461-5933",
            "fax_number": "415-461-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 SIR FRANCIS DRAKE BLVD",
            "address_2": "SUITE 306",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041712",
            "telephone_number": "415-461-5933",
            "fax_number": "415-461-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "21571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.