Organization Active NPI

Dominicis Dental Group

  • General Practice Dentistry
  • Whittier, CA
National Provider Identifier
1174232425
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DOMINICIS DENTAL GROUP
Practice address
13502 Whittier Blvd Ste I-Q
Whittier, CA 90605-1945
Phone
(562) 550-0808
NPI assigned
Nov 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
Dr. Luis Ramiro Dominicis Jr., DDSNPI 1851557532
Title
Dentist/Owner
Phone
(562) 440-9794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

13502 Whittier Blvd Ste I-Q
Whittier, CA 90605-1945

Mailing address

13502 Whittier Blvd Ste I-Q
Whittier, CA 90605-1945
Phone (562) 550-0808

National Provider Directory

National Provider Directory

Locations

13502 Whittier Blvd
Ste Iq
Whittier, CA 90605
Phone (562) 550-0808

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1174232425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13502 WHITTIER BLVD STE I-Q",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051945",
            "telephone_number": "562-550-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13502 WHITTIER BLVD STE I-Q",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051945",
            "telephone_number": "562-550-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINICIS DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "DOMINICIS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "RAMIRO",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "562-440-9794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.