Jade Fontenot, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6673 Issued in LA

Practice address

725 N Avenue K
Crowley, LA 70526

Phone

(337) 783-2455

NPI assigned

Jun 22, 2016

Last updated

Jul 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Jade F Fontenot DDS LLC

  • General Practice Dentistry
  • Crowley, LA
  • NPI 1861978041
  NPD Authorized official
• Charles L. Anzalone, D.D.S.

  • Dentist
  • Crowley, LA
  • NPI 1578916524
  NPD (past)

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1396196275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N AVENUE K",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705263848",
            "telephone_number": "337-783-2455",
            "fax_number": "337-783-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N AVENUE K",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "70526",
            "telephone_number": "337-783-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "JADE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fine Lines Cosmetic Laser CNT
• Megan Christine Fitzpatrick, MD
• Kevin J Flash, D.D.S.
• Charles Joseph Fontenot, D.D.S.
• Douglas George Fontenot, M.A.
• Scott James Fontenot
• Astacia Ford, LPC
• David M Frank, DPT
• Laura Frank, RN
• Brandy Freed, R.PH.

• General Practice Dentistry in Crowley, LA
• Providers in Crowley, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.