DR. ANDREW C FOSSUM D.D.S.
NPI 1699921403
Student in an Organized Health Care Education/Training Program in Farmington, CT
About Dr. Andrew C Fossum D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANDREW C FOSSUM D.D.S. (NPI 1699921403) is an individual student in an organized health care education/training program in Farmington, Connecticut, licensed in Connecticut (11588) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Andrew C Fossum D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FARMINGTON, CT 06030
FARMINGTON, CT 06030
FARMINGTON, CT 06030
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Andrew Fossum's NPI number?
The NPI number for Andrew Fossum is 1699921403. It was assigned to this individual provider in the NPPES registry on August 12, 2008.
Where is Andrew Fossum located?
Andrew Fossum practices at 263 Farmington Ave, Farmington, CT 06030. The listed phone number is (860) 679-2000.
What is Andrew Fossum's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Andrew Fossum enrolled in Medicare?
Yes. Andrew Fossum is registered in the Medicare PECOS enrollment system.
What insurance does Andrew Fossum accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Andrew Fossum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Andrew Fossum was last updated on July 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Andrew C Fossum, D.D.S. · NPI 1699921403
Student in an Organized Health Care Education/Training Program provider in Farmington, Connecticut. Individual provider, active in the CMS NPPES registry since August 12, 2008.
## Identity
- **NPI:** 1699921403 (Entity type: Individual)
- **Enumerated:** August 12, 2008
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 11588 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 263 FARMINGTON AVE, Farmington, CT 06030-0001
- **Phone:** (860) 679-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 8, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1699921403) · Data from the CMS NPPES public registry.