NPIMap

Organization Active NPI

Charles L. Foster Jr. DDS Inc.

Doing business as Easy and Affordable Kids Dental Care

  • General Practice Dentistry
  • Hawthorne, CA
National Provider Identifier
1821324997
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53412 Issued in CA
Legal business name
CHARLES L. FOSTER JR. DDS INC.
Doing business as
Easy and Affordable Kids Dental Care
Practice address
3800 W El Segundo Blvd
Suite 203
Hawthorne, CA 90250-4677
Phone
(310) 679-0687
NPI assigned
Oct 26, 2009
Last updated
Oct 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Dr. Charles L Foster Jr., DDS
Title
Dentist
Phone
(248) 635-6449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 53412 CA Primary

Addresses

Primary practice location

3800 W El Segundo Blvd
Suite 203
Hawthorne, CA 90250-4677

Mailing address

3800 W El Segundo Blvd
Suite 203
Hawthorne, CA 90250-4677
Phone (310) 679-0687

Other identifiers 1

IdentifierTypeStateIssuer
B53412MedicaidCA

Other names 1

  • Easy and Affordable Kids Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Charles L Foster Jr DDS Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1821324997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W EL SEGUNDO BLVD",
            "address_2": "SUITE 203",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504677",
            "telephone_number": "310-679-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W EL SEGUNDO BLVD",
            "address_2": "SUITE 203",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504677",
            "telephone_number": "310-679-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES L. FOSTER JR. DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "248-635-6449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B53412",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easy and Affordable Kids Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.