Craig Kenneth Foisie, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

10736 Issued in CT

Practice address

97 Elm St
Old Saybrook, CT 06475-4144

Phone

(860) 388-4439

NPI assigned

Nov 20, 2005

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

Enrolled in CT

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

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

{
    "created_epoch": "1132444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1942282363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 ELM ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754144",
            "telephone_number": "860-388-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 ELM ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754144",
            "telephone_number": "860-388-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOISIE",
        "first_name": "CRAIG",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-20",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CT",
            "license": "10736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Honghui Feng, M.D.
• Izabela Anna Ferrer, DO
• John H Fidler III, DPT
• Laura Rydelek Fitzgerald, N.P.
• Cathryn M Flanagan, ND
• Gary M Freudenthal, PSYD
• Larry Freundlich
• Lisa Beth Galasso, PH.D.
• Margaret Garrison
• Robert Joseph Gassman, R.D.

• Periodontics in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Periodontics in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.