NPIMap

Organization Active NPI

Foster Jr, Charles L, DDS Inc

  • General Practice Dentistry
  • Pomona, CA
National Provider Identifier
1760642201
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53412 Issued in CA
Legal business name
FOSTER JR, CHARLES L, DDS INC
Practice address
243 E Mission Blvd
Pomona, CA 91766-1846
Phone
(909) 634-8640
Fax
(909) 634-8681
NPI assigned
Jun 9, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Charles Lionel Foster Jr.
Title
Ceo
Phone
(248) 635-6449

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Charles L Foster Jr DDS Inc (6 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 53412 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

243 E Mission Blvd
Pomona, CA 91766-1846

Mailing address

243 E Mission Blvd
Pomona, CA 91766-1846
Phone (909) 634-8640

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 26, 2015.

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1760642201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 E MISSION BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661846",
            "telephone_number": "909-634-8640",
            "fax_number": "909-634-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 E MISSION BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661846",
            "telephone_number": "909-634-8640",
            "fax_number": "909-634-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER JR, CHARLES L, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LIONEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-635-6449",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.