NPIMap

Organization Active NPI

Kala Foster DDS PLC

  • General Practice Dentistry
  • Gaylord, MI
National Provider Identifier
1750859500
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KALA FOSTER DDS PLC
Practice address
1120 Gornick Ave
Gaylord, MI 49735-1740
Phone
(989) 705-7000
NPI assigned
Nov 9, 2018
Last updated
Nov 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Authorized official

Name
Dr. Kala Foster, DDSNPI 1013353689
Title
Owner Dentist
Phone
(989) 705-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1120 Gornick Ave
Gaylord, MI 49735-1740

Mailing address

1120 Gornick Ave
Gaylord, MI 49735-1740
Phone (989) 705-7000

National Provider Directory

National Provider Directory

Locations

1120 Gornick Ave
Gaylord, MI 49735
Phone (989) 705-7000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541721600000",
    "number": "1750859500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 GORNICK AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351740",
            "telephone_number": "989-705-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 GORNICK AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351740",
            "telephone_number": "989-705-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALA FOSTER DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "KALA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "989-705-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.