Dustin Allen Fontenot, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA05398 Issued in TX

Practice address

970 Hesters Crossing Rd
Suite 101
Round Rock, TX 78681-8027

Phone

(512) 238-0762

Fax

(512) 341-7370

NPI assigned

Nov 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dustin.fontenot.1@15397.direct.athenahealth.com

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.

• Sandeep G. Mistry, MD, PA

  • Urology Physician
  • Round Rock, TX
  • NPI 1760674253
  Medicare reassignment
• Southwest Skin and Vein Center PLLC

  • Dermatology Physician
  • Austin, TX
  • NPI 1609251107
  NPD (past)
• Spineaustin PA

  • Multi-Specialty Clinic/Center
  • Austin, TX
  • NPI 1164530390
  NPD (past)

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1508046715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 HESTERS CROSSING RD",
            "address_2": "SUITE 101",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786818027",
            "telephone_number": "512-238-0762",
            "fax_number": "512-341-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 HESTERS CROSSING RD",
            "address_2": "SUITE 101",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786818027",
            "telephone_number": "512-238-0762",
            "fax_number": "512-341-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "DUSTIN",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-06",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/TX",
            "identifier": "8Y4033",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE LICENSE",
            "identifier": "PA05398",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Focused on You Chiropractic P.L.L.C.
• Morgan Michelle Fogle
• Kristin Foley, RN, FNP-C
• Sarah Foley
• Wai Lik Fong, DPT
• Sarah Nicole Fontenot, LPC ASSOCIATE
• Foot and Shoe, LLC
• Foot Associates of Central Texas, LLC
• Footsteps and Handprints Pediatric Therapy, LLC
• Nicole Kahl Ford, RD, LD

• Physician Assistant in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.