Organization Active NPI

Brian C Foote DMD PC

  • General Practice Dentistry
  • Wareham, MA
National Provider Identifier
1932276342
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15509 Issued in MA
Legal business name
BRIAN C FOOTE DMD PC
Practice address
45 Main St
C 6
Wareham, MA 02571
Phone
(508) 295-6002
Fax
(508) 295-1543
NPI assigned
Nov 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brian Charles Foote, DMDNPI 1396931192
Title
President
Phone
(508) 295-6002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 15509 MA Primary

Addresses

Primary practice location

45 Main St
C 6
Wareham, MA 02571

Mailing address

Box 388
Wareham, MA 02571
Phone (508) 295-6002

National Provider Directory

National Provider Directory

Locations

45 Main St
Ste C6
Wareham, MA 02571
Phone (508) 295-6002

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932276342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 388",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "02571",
            "telephone_number": "508-295-6002",
            "fax_number": "508-295-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MAIN ST",
            "address_2": "C 6",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "02571",
            "telephone_number": "508-295-6002",
            "fax_number": "508-295-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN C FOOTE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOOTE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-295-6002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wareham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.