Active NPI 1962780965 Individual Practitioner Male Practitioner

Dr. John F Fonseca , DDS

Dentist - General Practice • Santa Fe, NM

Professional Overview & Biography Verified Profile Summary

Dr. John Fonseca, DDS is a registered healthcare professional specializing in Dentist - General Practice in Santa Fe, NM. Practice services are available at 3600 RODEO LN STE D1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3600 Rodeo Ln Ste D1

Santa Fe, NM 875075803

Telephone 5054288588

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Santa Fe, NM

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 7.0 Yrs

State Avg: 9.6 Yrs

Regional Practice Density

56 Specialists

Practicing in Santa Fe, NM (761 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-06-13

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NM 5215

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

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Updated Practice Location June 13, 2022

Registered at 3600 RODEO LN STE D1, SANTA FE, NM 875075803 (Tel: 5054288588)

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Updated Business Mailing Address June 13, 2022

Registered at 3600 RODEO LN STE D1, SANTA FE, NM 875075803 (Tel: 5054388088)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2022

Dentist (License #5215 in NM)

✅

NPI Profile Active January 22, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 22, 2015

Registered at 8405 RIO SAN DIEGO DR, APT # 5110, SAN DIEGO, CA 921085689 (Tel: 7343587220)

📍

Updated Business Mailing Address January 22, 2015

Registered at PSC 475 BOX 1588, FPO, AP 963501588 (Tel: 6198107792)

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Provider Name / Credentials Updated January 22, 2015

Recorded as JOHN FONSECA, DDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2015

Dentist (License #2901020390 in MI)

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Initial NPI Registration & Enumeration July 26, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962780965

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 26, 2011

Last Update: June 13, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3600 Rodeo Ln Ste D1

Santa Fe, NM 875075803

Phone: 5054388088

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.