Logan B. Foutz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-5537 Issued in ID

Practice address

2344 N Merritt Creek Loop
Coeur D Alene, ID 83814-4950

Phone

(208) 676-8500

NPI assigned

Apr 21, 2023

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Foutz Family Dentistry

  • Dental Clinic/Center
  • Springfield, MO
  • NPI 1083509731
  NPD Authorized official
• Riverstone Dental Care

  • Dentist
  • Coeur D Alene, ID
  • NPI 1619197118
  NPD (past)

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1851088413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1482 N SKYKOMISH DR",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838540221",
            "telephone_number": "801-319-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 N MERRITT CREEK LOOP",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144950",
            "telephone_number": "208-676-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUTZ",
        "first_name": "LOGAN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-5537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Leanne Forsman, NP
• Rebekah Forster-Casey, LSW
• Fostering Hope Health & Diagnostics LLC
• Gayle Joleen Fothergill, COTA/L
• Alena Noel Fournier, LMT
• Andrea Fowler
• Shiana Michelle Fowler, LMSW
• Brianna L Francoeur, DPT
• Sarah Lynn Frank, NP-C
• Ruth Ellen Frantz, CERT. ACUPUNCTURIST

• General Practice Dentistry in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.