Active NPI
Dayanela Dominguez, DDS
- Dentist
- West Palm Beach, FL
National Provider Identifier
1104715572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN30494
- Practice address
- 2976 S Military TRL Ste 1
West Palm Beach, FL 33415-9200 - Phone
- (561) 434-6661
- Fax
- (561) 434-6662
- NPI assigned
- Jul 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN30494 | FL | Primary |
Addresses
Primary practice location
2976 S Military TRL Ste 1
West Palm Beach, FL 33415-9200
Mailing address
2100 W 14TH St
Lehigh Acres, FL 33972-8740
Phone (561) 358-7094
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN30494 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Congress Cosmetic & General Dentistry Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Palm Springs, FL
- NPI 1972891919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1104715572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 W 14TH ST",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339728740",
"telephone_number": "561-358-7094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2976 S MILITARY TRL STE 1",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334159200",
"telephone_number": "561-434-6661",
"fax_number": "561-434-6662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "DAYANELA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-01",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN30494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.