Individual provider Active NPI

Patricia Jenny Foster, D.D.S.

  • General Practice Dentistry
  • Wheat Ridge, CO
National Provider Identifier
1942598032
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10506 Issued in CO
Practice address
7900 W 44TH Ave Ste 101
Wheat Ridge, CO 80033-4563
Phone
(303) 422-7978
Fax
(303) 422-7979
NPI assigned
Jul 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10506 CO Primary
General Practice Dentistry 1223G0001X 2011017534 MO

Addresses

Primary practice location

7900 W 44TH Ave Ste 101
Wheat Ridge, CO 80033-4563

Mailing address

28532 Shadow Mountain Dr
Conifer, CO 80433-8610
Phone (303) 801-7972

Other names 1

  • Dr. Patricia Jenny Bertz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10506COMDGeneral Practice Dentistry
2011017534MOMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1942598032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28532 SHADOW MOUNTAIN DR",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804338610",
            "telephone_number": "303-801-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 W 44TH AVE STE 101",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334563",
            "telephone_number": "303-422-7978",
            "fax_number": "303-422-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "PATRICIA",
        "middle_name": "JENNY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10506",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2011017534",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "BERTZ",
            "middle_name": "JENNY",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.