ANDREW JACOB FOGG (NPI# 1457976573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457976573 |
| Entity Type | Individual |
| Full Name | ANDREW JACOB FOGG |
| Credential | DDS |
| Practice Address |
331 S State Road 135 Ste D Greenwood IN 46142-1453 |
| Mailing Address |
307 N Pennsylvania St Apt 911 Indianapolis IN 46204-2311 |
| Practice Telephone | 3178590600 |
| Mailing Telephone | 3174505364 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12013380A | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699761684 | Andrew W Fogg | Chiropractor | 1775 Harrison Ave, Eureka, CA 95501-1338 | 2005-09-23 |
| Street Address |
331 S STATE ROAD 135 STE D |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46142-1453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619136124 | Sean Schafer | Dentist | 331 S State Road 135 Ste D, Greenwood, IN 46142-1453 | 2008-06-09 |
| 1972026136 | Mary M. Salama | Dentist | 331 S State Road 135 Ste D, Greenwood, IN 46142-1453 | 2017-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093330979 | Renee Francine Jones | Nurse Practitioner | 698 Oldfield Commons Dr, Greenwood, IN 46142 | 2020-06-16 |
| 1164046876 | Top Dental Care LLC | Dentist | 41 N. Madison Ave, Greenwood, IN 46142 | 2020-05-29 |
| 1467956201 | Gerth Counseling | Social Worker | 386 Meridian Parke Lane, Suit B, Greenwood, IN 46142 | 2018-03-19 |
| 1588019988 | Jessica Lynn Osborne | Speech-Language Pathologist | 1701 Library Park Blvd, Greenwood, IN 46142 | 2016-05-04 |
| 1417301359 | John Thomas Ferguson Jr. | Marriage & Family Therapist | 3209 W Smith Valley Road, #225, Indianapolis, IN 46142 | 2016-04-18 |
| 1982065132 | Linda Barnes | Occupational Therapist | 124 Hawthorne Lane, Greenwood, IN 46142 | 2016-03-16 |
| 1346611688 | Elisha Cain | Optometrist | 1298 Us-31, Greenwood, IN 46142 | 2015-10-13 |
| 1801158456 | Frank William Fortuna | Family Medicine | 461 Camby Court, Greenwood, IN 46142 | 2012-06-11 |
| 1164708202 | Greenwood Family Chiropractic, LLC | Chiropractor | 520 N Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
| 1447536586 | Leanne Nicole Schlueter | Chiropractor | 520 North Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
| Find all providers in zip 46142 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164046876 | Top Dental Care LLC | Dentist | 41 N. Madison Ave, Greenwood, IN 46142 | 2020-05-29 |
| 1356836951 | Mfdc of Indiana, Inc | Dentist | 1642 Olive Branch Parke Ln Ste 700, Greenwood, IN 46143-5900 | 2018-06-26 |
| 1932582335 | Zachary A Campano Dds LLC | Dentist | 3001 Meridian Meadows Rd, Greenwood, IN 46142-1011 | 2015-07-02 |
| 1104246750 | Kenneth Adams Jr. | Dentist | 1759 Vidalia Ct, Greenwood, IN 46143-6946 | 2014-04-22 |
| 1801229224 | First Choice Dental of Greenwood | Dentist | 301 Montague Ave, Greenwood, SC 29649-1939 | 2013-08-21 |
| 1215201009 | Adam Weems | Dentist | 1705 Strong Ave Ste A, Greenwood, MS 38930-3923 | 2012-02-27 |
| 1871872317 | Dental Health Assoc of In PC | Dentist | 1642 Olive Branch Parke Ln, Suite 700, Greenwood, IN 46143-6447 | 2011-08-16 |
| 1740593342 | Maneesha R Chigurupati | Dentist | 3531 Streamside Dr, Greenwood, IN 46143-6745 | 2010-07-23 |
| 1144532318 | Kristin Stevens | Dentist | 5873 N State Road 135, Greenwood, IN 46143-5616 | 2010-07-05 |
| 1225268055 | Larry Michael Dyer | Dentist | 1320 Vicksburg South Dr, Greenwood, IN 46143-7791 | 2009-07-14 |
| Find all providers in GREENWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.