Individual provider Active NPI

Peter Montague Foster, D.D.S.

  • Dentist
  • Williamsburg, VA
National Provider Identifier
1841450715
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401412137 Issued in VA
Practice address
1131 Professional Dr
Williamsburg, VA 23185-3329
Phone
(757) 220-0330
NPI assigned
Jun 13, 2008
Last updated
Jun 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401412137 VA Primary

Addresses

Primary practice location

1131 Professional Dr
Williamsburg, VA 23185-3329

Mailing address

1131 Professional Dr
Williamsburg, VA 23185-3329
Phone (757) 220-0330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20160411001373 VA Order and Referring Only - DentistPractitioner - Dentist 8022316983

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": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1841450715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 PROFESSIONAL DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853329",
            "telephone_number": "757-220-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 PROFESSIONAL DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853329",
            "telephone_number": "757-220-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "PETER",
        "middle_name": "MONTAGUE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.