Active NPI
Michael David Foster, DMD, MPH
- Oral and Maxillofacial Surgery (Dentist)
- Kingsport, TN
National Provider Identifier
1962474304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 9027
- Practice address
- 117 W Sevier Ave
Suite 220
Kingsport, TN 37660-3799 - Phone
- (423) 224-3200
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA560 | KY | |
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 9027 | KY | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 9027 | KY | Primary |
Addresses
Primary practice location
117 W Sevier Ave
Suite 220
Kingsport, TN 37660-3799
Mailing address
117 W Sevier Ave
Suite 220
Kingsport, TN 37660-3799
Phone (423) 224-3200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000184655 | Other | KY | BCBS PIN # |
| 9500101200 | Medicaid | KY | |
| 970014810 | Other | KY | RR MCARE |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9027 | KY | MD | Oral and Maxillofacial Surgery (Dentist) |
| PA560 | KY | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1962474304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 W SEVIER AVE",
"address_2": "SUITE 220",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603799",
"telephone_number": "423-224-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 W SEVIER AVE",
"address_2": "SUITE 220",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603799",
"telephone_number": "423-224-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DMD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "KY",
"license": "PA560",
"primary": false
},
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "KY",
"license": "9027",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "KY",
"license": "9027",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN #",
"identifier": "000000184655",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9500101200",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCARE",
"identifier": "970014810",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.