Ian Fontenot, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5988 Issued in LA

Practice address

200 Hector Connoly Rd Ste 102
Carencro, LA 70520-6348

Phone

(337) 565-2580

Fax

(337) 565-2799

NPI assigned

May 4, 2010

Last updated

Jun 9, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1912225780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HECTOR CONNOLY RD STE 102",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705206348",
            "telephone_number": "337-565-2580",
            "fax_number": "337-565-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HECTOR CONNOLY RD STE 102",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705206348",
            "telephone_number": "337-565-2580",
            "fax_number": "337-565-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "IAN",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn B Hanna OD a Professional Optometry Corp (Carencro Eye Clinic)
• Richard Bernard Feucht II, M.D.
• Fielder Family Clinic LLC
• Rajah Fielder, FNP
• Pearlie B Flugence
• Leslie Dugas Fontenot, MA
• Megan Fontenot, FNP
• Nicole Fontenot, LCSW
• Thomas J Fontenot, CRNA
• Maria Fourquet, RPH

• General Practice Dentistry in Carencro, LA
• Providers in Carencro, 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 Jun 9, 2014; 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.