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JONATHON KARL FREDERIKSEN RDH
NPI 1912355629
Dental Hygienist in Pecos, NM

Active since June 03, 2016

NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathon Karl Frederiksen Rdh NPPES

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

JONATHON KARL FREDERIKSEN RDH (NPI 1912355629) is an individual dental hygienist in Pecos, New Mexico, licensed in New Mexico (DH2815) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1912355629
Entity TypeIndividualMale
Primary Taxonomy124Q00000X
Provider Legal NameJONATHON KARL FREDERIKSENCredential: RDH
Location Address199 HWY 50Pecos, NM 87552
Mailing Address2 Avenida De CompadresSanta Fe, NM 87508-8713 · (505) 757-6666
Phone(505) 757-6666
Sole ProprietorNo
Enumeration DateJune 3, 2016
✔ NPI 1912355629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in NM · DH2815
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
199 HWY 50, Pecos, NM 87552
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Other Providers at the Same Location NPPES 7

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

MARY SJOBERG RPH
Pharmacist
199 HWY 50
PECOS, NM 87552
San Miguel County (505) 443-3211
STEVEN COLLOTZI RDH
Dental Hygienist
199 HWY 50
PECOS, NM 87552
San Miguel County (505) 757-6666
PECOS VALLEY MEDICAL CENTER, INC
Clinic/Center (Community Health)
199 HWY 50
PECOS, NM 87552
San Miguel County (505) 757-6482
DANIEL KEITH EVANS DDS
Dentist (General Practice)
199 HWY 50
PECOS, NM 87552
San Miguel County (505) 757-6666
RICHARD C PETERS DDS
Dentist (General Practice)
199 HWY 50
PECOS, NM 87552
San Miguel County (505) 757-6666
BRENDA CARACHEO RDH
Dental Hygienist
199 HWY 50
PECOS, NM 87552
San Miguel County (505) 757-6666
LILIA LOPEZ DE VARELA CCHW
Community Health Worker
199 HWY 50
PECOS, NM 87552
San Miguel County (505) 757-6482

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 Jonathon Frederiksen's NPI number?

The NPI number for Jonathon Frederiksen is 1912355629. It was assigned to this individual provider in the NPPES registry on June 3, 2016.

Where is Jonathon Frederiksen located?

Jonathon Frederiksen practices at 199 Hwy 50, Pecos, NM 87552. The listed phone number is (505) 757-6666.

What is Jonathon Frederiksen's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Jonathon Frederiksen was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.