OrganizationActive
Roberta L. Fennig DO PC
NPI 1912259441 · Clinic/Center · Santa Teresa, NM
Provider details
- NPI number
- 1912259441
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Roberta Fennig, President(915) 494-1237
- License
- A167712 (NM)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5305 Mcnutt Rd
Suite H
Santa Teresa, NM 88008-9685
Phone: (575) 589-1770
Fax: (575) 589-1799
Street-level locationGet directions
Mailing address
Po Box 4
Santa Teresa, NM 88008-0004
Registry dates
- Enumerated
- 2012-10-08
- Last updated
- 2012-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.