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JOHN F FONSECA DDS
NPI 1962780965
Dentist - General Practice in Santa Fe, NM

Active since July 26, 2011PECOS Enrolled
3600 RODEO LN STE D1, SANTA FE, NM 87507(505) 428-8588 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John F Fonseca Dds NPPES

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

JOHN F FONSECA DDS (NPI 1962780965) is an individual general practice provider in Santa Fe, New Mexico, licensed in New Mexico (5215) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962780965
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJOHN F FONSECACredential: DDS
Location Address3600 RODEO LN STE D1Santa Fe, NM 87507-5803
Mailing Address3600 Rodeo Ln Ste D1Santa Fe, NM 87507-5803 · (505) 438-8088
Phone(505) 428-8588
Sole ProprietorYes
Enumeration DateJuly 26, 2011
Last NPPES UpdateJune 13, 2022
NPPES CertifiedJune 13, 2022
✔ NPI 1962780965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NM · 5215
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.
3600 RODEO LN STE D1, Santa Fe, NM 87507
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John F Fonseca Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87507 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

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 John Fonseca's NPI number?

The NPI number for John Fonseca is 1962780965. It was assigned to this individual provider in the NPPES registry on July 26, 2011.

Where is John Fonseca located?

John Fonseca practices at 3600 Rodeo Ln Ste D1, Santa Fe, NM 87507. The listed phone number is (505) 428-8588.

What is John Fonseca's specialty?

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

Is John Fonseca enrolled in Medicare?

Yes. John Fonseca is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Fonseca was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.