Dominoe Nichole Banuelos, DH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

002025261 Issued in CO

Practice address

3705 E Colfax Ave Unit 101
Denver, CO 80206-1810

Phone

(303) 399-3001

NPI assigned

Sep 29, 2018

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• City Park Dental Group, LLP

  • General Practice Dentistry
  • Denver, CO
  • NPI 1588094320
  NPD (past)

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

{
    "created_epoch": "1538179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538179200000",
    "number": "1255816807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18159 E 44TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802497602",
            "telephone_number": "303-669-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 E COLFAX AVE UNIT 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061810",
            "telephone_number": "303-399-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANUELOS",
        "first_name": "DOMINOE",
        "middle_name": "NICHOLE",
        "credential": "DH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-29",
        "last_updated": "2018-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "002025261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Bannon, PHD
• Meena Bansal, DO
• Helene Bansley
• Rosalba Banuelos Robles
• Adriana Alondra Banuelos-Belloc
• Erica Patricia Banuelos
• Banyan Counseling Collective LLC
• Baobab Psychiatric Services of Colorado, PLLC
• John Bapties
• Baptist Home Association of the Rocky Mountain Inc

• All providers in Denver, CO
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2018; 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.