Kendra Domotor, DMD MBE

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00206340 Issued in CO

Practice address

860 Potomac Cir
Aurora, CO 80011-6714

Phone

(720) 777-6788

NPI assigned

Jun 19, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1144117441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4682 BEELER CT APT 104",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802384468",
            "telephone_number": "610-297-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 POTOMAC CIR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800116714",
            "telephone_number": "720-777-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMOTOR",
        "first_name": "KENDRA",
        "name_prefix": "Dr.",
        "credential": "DMD MBE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00206340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnny G Dominguez Jr.
• Samuel Dominguez, MD
• Vanessa Victoria Dominguez
• Macie Dominique
• Sirisha Dommaraju, DMD
• Kaila Donadio
• Julie M Donahue, N.P.
• Mackenzie Donahue
• Nathan J Donaldson, D.O.
• Chloe Gabrielle Donday-Selenske

• General Practice Dentistry in Aurora, CO
• Providers in Aurora, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.