Eric J Foster, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901018395 Issued in MI

Practice address

630 36TH St SW
Grand Rapids, MI 49509-4005

Phone

(616) 538-4330

Fax

(616) 538-5353

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760505994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 36TH ST SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495094005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 36TH ST SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495094005",
            "telephone_number": "616-538-4330",
            "fax_number": "616-538-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "D18395",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4936691",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Foster
• Ashley-Rae Joann Foster
• Charity Foster
• Clayton Douglas Foster, MD
• Corinne Maria Foster, LCSW
• Jennifer A Foster, PROSTHETIST CP
• Katharine Ann Foster
• Katherine Lousie Foster, D.O.
• Megan Foster
• Naquetta Foster

• Dentist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dentist in Michigan

• 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.