Individual provider Active NPI

Maria Dominguez, DDS

  • General Practice Dentistry
  • North Lauderdale, FL
National Provider Identifier
1083339477
Registry record updated Oct 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27466 Issued in FL
Practice address
7244 W McNab Rd
North Lauderdale, FL 33068-5441
Phone
(954) 341-0002
NPI assigned
Oct 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 27466 FL Primary

Addresses

Primary practice location

7244 W McNab Rd
North Lauderdale, FL 33068-5441

Mailing address

2080 SW 27TH Ave
Fort Lauderdale, FL 33312-4467
Phone (786) 838-3136

Other practice location 1

8400 NW 27th Ave Ste 101
Miami, FL 33147-4167
Phone (305) 456-2680

Other practice location 2

74 W Mowry Dr
Homestead, FL 33030-5902
Phone (305) 246-3800

Other practice location 3

925 NE 30th Ter Ste 302
Homestead, FL 33033-7614
Phone (305) 246-3800

Other practice location 4

17037 S Dixie Hwy
Palmetto Bay, FL 33157-4362
Phone (786) 732-0802

Other practice location 5

9075 SW 162nd Ave Ste 110&112
Miami, FL 33196-6437
Phone (305) 456-8314

Other practice location 6

18244 NW 27th Ave
Miami Gardens, FL 33056-3501
Phone (305) 454-0911

Other practice location 7

557 NE 81st St
Miami, FL 33138-4519
Phone (305) 456-2680

Other practice location 8

1440 NW North River Dr Ste 345
Miami, FL 33125-2894
Phone (786) 353-9887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230803000305 FL Order and Referring Only - DentistPractitioner - Dentist 1052772365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27466FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Dental Center of North Lauderdale CurrentSince Oct 20, 2024 Accepting new patients
Pediatric Dental Center of River Landing PastSince Apr 20, 2021 Accepting new patients
Pediatric and Orthodontic Dental Centers of Broward PastSince Oct 20, 2024 Accepting new patients
Pediatric Dental Center of Gardens Inc PastSince Nov 1, 2020 Accepting new patients
Pediatric Dental Center of Liberty City Inc PastSince Dec 7, 2025 Accepting new patients
Pediatric Dental Center of Homestead Past Accepting new patients
Pediatric Dental Center of Homestead II PastSince Feb 11, 2024 Accepting new patients
Pediatric Dental Center of Palmetto Bay Inc PastSince Apr 20, 2021 Accepting new patients
Pediatric Dental Center of West Kendall Inc PastSince Apr 20, 2021 Accepting new patients

Locations

7244 W McNab Rd
North Lauderdale, FL 33068
Phone (954) 341-0002

Networks

  • Freedom Health HMO Network

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728777600000",
    "number": "1083339477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 SW 27TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333124467",
            "telephone_number": "786-838-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7244 W MCNAB RD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330685441",
            "telephone_number": "954-341-0002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8400 NW 27th Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331474167",
            "country_code": "US",
            "telephone_number": "305-456-2680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "74 W Mowry Dr",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330305902",
            "country_code": "US",
            "telephone_number": "305-246-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 NE 30th Ter Ste 302",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330337614",
            "country_code": "US",
            "telephone_number": "305-246-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17037 S Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Palmetto Bay",
            "state": "FL",
            "postal_code": "331574362",
            "country_code": "US",
            "telephone_number": "786-732-0802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9075 SW 162nd Ave Ste 110&112",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331966437",
            "country_code": "US",
            "telephone_number": "305-456-8314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18244 NW 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330563501",
            "country_code": "US",
            "telephone_number": "305-454-0911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "557 NE 81st St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331384519",
            "country_code": "US",
            "telephone_number": "305-456-2680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1440 NW North River Dr Ste 345",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331252894",
            "country_code": "US",
            "telephone_number": "786-353-9887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2024-10-13",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "27466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.