Individual provider Active NPI

Ron Allen Fenton, RDN

  • Registered Dietitian
  • Marana, AZ
National Provider Identifier
1023844479
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
810439 Issued in TX
Practice address
13395 N Marana Main St
Marana, AZ 85653-7008
Phone
(520) 682-4111
NPI assigned
Sep 11, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 810439 TX Primary

Addresses

Primary practice location

13395 N Marana Main St
Marana, AZ 85653-7008

Mailing address

8401 S Kolb Rd Unit 172
Tucson, AZ 85756-9617
Phone (559) 321-4648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240926002910 AZ Practitioner - Registered Dietitian Or Nutrition Professional 9739620022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marana Health Center IncGroup PAC ID 2365348091, 114 clinicians

Practice addresses (Care Compare)

13395 N Marana Main St
Marana, AZ 85653-7008
Phone (520) 682-4111

3690 S Park Ave
Suite 805
Tucson, AZ 85713-5042
Phone (520) 616-6760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
810439TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Marana Health Center Inc CurrentSince Oct 1, 2024 Accepting new patients
Marana Health Center, Inc Dietitian, Registered CurrentSince Oct 1, 2024 Accepting new patients
Marana Health Center, Inc Past Accepting new patients

Locations

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

5224 W Dove Centre Rd
Marana, AZ 85658
Phone (520) 616-1445

1856 E Innovation Park Dr
Oro Valley, AZ 85755
Phone (520) 825-7111

2355 N Wyatt Dr
Ste 101
Tucson, AZ 85712
Phone (520) 616-4948

1323 W Prince Rd
Tucson, AZ 85705
Phone (520) 887-0800

1707 W Saint Marys Rd
Ste 175
Tucson, AZ 85745
Phone (520) 616-6790

899 N Wilmot Rd
Ste B
Tucson, AZ 85711
Phone (520) 290-1100

12635 W Rudasill Rd
Tucson, AZ 85743
Phone (520) 682-3777

2945 W Ina Rd
Ste 215
Tucson, AZ 85741

16701 N Oracle Rd
Ste 135
Tucson, AZ 85739
Phone (520) 682-1095

3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560

2325 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 616-1510

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1023844479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 S KOLB RD UNIT 172",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857569617",
            "telephone_number": "559-321-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13395 N MARANA MAIN ST",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856537008",
            "telephone_number": "520-682-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTON",
        "first_name": "RON",
        "middle_name": "ALLEN",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "810439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marana, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.