Individual provider Active NPI

Lisa B Foster, DMD

  • General Practice Dentistry
  • Louisville, KY
National Provider Identifier
1831232990
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8246 Issued in KY
Practice address
5135 Dixie Hwy
Ste 22
Louisville, KY 40216
Phone
(502) 448-0070
Fax
(502) 448-4646
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8246 KY Primary

Addresses

Primary practice location

5135 Dixie Hwy
Ste 22
Louisville, KY 40216

Mailing address

5135 Dixie Hwy
Ste 22
Louisville, KY 40216
Phone (502) 448-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20150701000984 KY Order and Referring Only - DentistPractitioner - Dentist 1557673795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831232990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 DIXIE HWY",
            "address_2": "STE 22",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40216",
            "telephone_number": "502-448-0070",
            "fax_number": "502-448-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 DIXIE HWY",
            "address_2": "STE 22",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40216",
            "telephone_number": "502-448-0070",
            "fax_number": "502-448-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "LISA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.