Individual provider Active NPI

Dennis K Foley, PA

  • Physician Assistant
  • Avon, CT
National Provider Identifier
1801867767
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
000317 Issued in CT
Practice address
100 Simsbury Rd
Suite 203
Avon, CT 06001-3793
Phone
(860) 284-5111
Fax
(860) 284-5114
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 000317 CT Primary

Addresses

Primary practice location

100 Simsbury Rd
Suite 203
Avon, CT 06001-3793

Mailing address

100 Simsbury Rd
Suite 203
Avon, CT 06001-3793
Phone (860) 284-5111

Other identifiers 1

IdentifierTypeStateIssuer
1801867767OtherCTNPI

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
000317CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Physician Services PC Physician Assistant Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1801867767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SIMSBURY RD",
            "address_2": "SUITE 203",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013793",
            "telephone_number": "860-284-5111",
            "fax_number": "860-284-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SIMSBURY RD",
            "address_2": "SUITE 203",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013793",
            "telephone_number": "860-284-5111",
            "fax_number": "860-284-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLEY",
        "first_name": "DENNIS",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "000317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801867767",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.