Active NPI
Cara Lee Fontana, DPM
- Podiatrist
- Dixon, IL
National Provider Identifier
1134804313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 135001184
- Practice address
- 215 E 1St St Ste 111
Dixon, IL 61021-3198 - Phone
- (815) 285-5801
- NPI assigned
- Jun 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 135001184 | IL | Primary |
Addresses
Primary practice location
215 E 1St St Ste 111
Dixon, IL 61021-3198
Mailing address
758 Marine Dr
Dixon, IL 61021-9511
Phone (224) 545-9603
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1134804313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "758 MARINE DR",
"city": "DIXON",
"state": "IL",
"postal_code": "610219511",
"telephone_number": "224-545-9603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E 1ST ST STE 111",
"city": "DIXON",
"state": "IL",
"postal_code": "610213198",
"telephone_number": "815-285-5801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTANA",
"first_name": "CARA",
"middle_name": "LEE",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-16",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "135001184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dixon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.