Felicia Yelena Fontenot, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4224 Issued in NM

Practice address

127 El Paso Road
Ruidoso, NM 88345

Phone

(575) 257-9053

NPI assigned

Oct 11, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Felicia Yelena Frizzell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mountain View Dental Ruidoso

  • General Practice Dentistry
  • Ruidoso, NM
  • NPI 1497254825
  NPD (past)
• Mountain View Dental Ruidoso

  • Dental Clinic/Center
  • Ruidoso, NM
  • NPI 1821877556
  NPD (past)

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1801171731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865040649",
            "telephone_number": "928-729-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 EL PASO ROAD",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "88345",
            "telephone_number": "575-257-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "FELICIA",
        "middle_name": "YELENA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60898",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "D4224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FELICIA",
            "last_name": "FRIZZELL",
            "middle_name": "YELENA",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason L Ferrell, LADAC
• Bruce Randy Fillmore, D.C.
• Sarah Anne Fisher
• Emily Jane Fleming, LPCC
• Leticia Michelle Flores
• Victoria Forsberg
• Rebecca Girtz Forster, LMT
• Donald Fraizer
• Joseph Michael Fraley, D.C.
• Charlene Frederick

• General Practice Dentistry in Ruidoso, NM
• Providers in Ruidoso, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.