Sharon Anne Foertsch, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019017187 Issued in IL

Practice address

133 E Laurel Ave
Lake Forest, IL 60045-1326

Phone

(847) 234-6440

Fax

(847) 234-2195

NPI assigned

Mar 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lake Forest Dental Associates

  • Dental Clinic/Center
  • Lake Forest, IL
  • NPI 1538533070
  NPD (past)
• Lake Forest Dental Associates, PC

  • Prosthodontics
  • Lake Forest, IL
  • NPI 1396991196
  NPD (past)

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1821330283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E LAUREL AVE",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451326",
            "telephone_number": "847-234-6440",
            "fax_number": "847-234-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E LAUREL AVE",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451326",
            "telephone_number": "847-234-6440",
            "fax_number": "847-234-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOERTSCH",
        "first_name": "SHARON",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019017187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Fitzpatrick, CPNP
• Therese A. Flaker, P.T.
• Bridget Theresa Fleming, MSED, EDS, BCBA,CAGS
• Michelle Fleming, AGACNP-BC
• Robin Anne Flory, P.T., C.L.T.
• Todd Alan Foister Jr., APRN, CNP
• Brooke Ann Folkrod, CCC-SLP
• Diane W Fondriest, MD
• James F. Fondriest, D.D.S.
• Jhan Carlo Fontanilla, DPT

• Dentist in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.