Active NPI
Dashamir Domi, RDH
- Dental Hygienist
- Salem, OR
National Provider Identifier
1184869919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH.002026584
- Practice address
- 2225 Mission St SE
Suite 150
Salem, OR 97302-1297 - Phone
- (503) 881-1820
- NPI assigned
- Dec 8, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH.002026584 | CO | Primary |
Addresses
Primary practice location
2225 Mission St SE
Suite 150
Salem, OR 97302-1297
Mailing address
2828 International Cir Ste 100
Colorado Springs, CO 80910-3127
Phone (719) 632-5700
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 |
|---|---|---|---|
| DH.002026584 | CO | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Vista Community Health Centers | Past | Accepting new patients | |
| Jeromy R. Dixson, DMD, LLC | Past | Accepting new patients |
Interoperability endpoints
- dashamir.domi.p1@direct.peakvista.nextgenshare.com
Organizations & group practices 2
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
- Salem, OR
- NPI 1306129333
-
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1497787535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721433600000",
"number": "1184869919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 INTERNATIONAL CIR STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103127",
"telephone_number": "719-632-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 MISSION ST SE",
"address_2": "SUITE 150",
"city": "SALEM",
"state": "OR",
"postal_code": "973021297",
"telephone_number": "503-881-1820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMI",
"first_name": "DASHAMIR",
"name_prefix": "Mr.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-08",
"last_updated": "2024-07-20",
"certification_date": "2024-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "DH.002026584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.