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DR. ANITA C FOUNTAIN DDS
NPI 1902834005
Dentist - General Practice in Goodyear, AZ

Active since June 28, 2006Opted out of Medicare · through Sep 22, 2027
14122 W MCDOWELL RD, STE. 200, GOODYEAR, AZ 85395(623) 536-2040 Get Directions Write a Review

NPPES record last updated: November 4, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Anita C Fountain Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANITA C FOUNTAIN DDS (NPI 1902834005) is an individual general practice provider in Goodyear, Arizona, licensed in Arizona (D2179) and active in the NPI registry since June 2006. She has opted out of Medicare through September 22, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1902834005
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ANITA C FOUNTAINCredential: DDS
Location Address14122 W MCDOWELL RD, STE. 200Goodyear, AZ 85395-2503
Mailing Address4060 E Lamar RdParadise Valley, AZ 85253-3247 · (480) 584-5212
Phone(623) 536-2040
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateNovember 4, 2007
✔ NPI 1902834005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in AZ · D2179✔ Licensed in WI · 2413-015
Definition
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.
14122 W MCDOWELL RD, Goodyear, AZ 85395
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Anita C Fountain Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 22, 2015 through September 22, 2027.

Opt-Out Effective DateSeptember 22, 2015
Opt-Out In Effect ThroughSeptember 22, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85395 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON LEONARD PHMNP
Nurse Practitioner (Psychiatric/Mental Health)
14122 W MCDOWELL RD
GOODYEAR, AZ 85395
Maricopa County (623) 349-1711
SARAH MARIA LARSON ANP-C
Nurse Practitioner (Adult Health)
14122 W MCDOWELL RD, SUITE 102B
GOODYEAR, AZ 85395
Maricopa County (623) 236-8720
WILD WEST ORTHODONTICS P.C
Dentist (Orthodontics and Dentofacial Orthopedics)
14122 W MCDOWELL RD, 200
GOODYEAR, AZ 85395
Maricopa County (623) 535-6603
SOLUNA HOLISTIC HEALTHCARE, INC.
Clinic/Center (Primary Care)
14122 W MCDOWELL RD, SUITE 102-B
GOODYEAR, AZ 85395
Maricopa County (623) 693-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anita Fountain's NPI number?

The NPI number for Anita Fountain is 1902834005. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Anita Fountain located?

Anita Fountain practices at 14122 W Mcdowell Rd Ste. 200, Goodyear, AZ 85395. The listed phone number is (623) 536-2040.

What is Anita Fountain's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Anita Fountain enrolled in Medicare?

No. Anita Fountain has opted out of Medicare through September 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Anita Fountain accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Anita Fountain as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anita Fountain was last updated on November 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.