Micheal W Domingoes, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN12312 Issued in FL

Practice address

3534 A1A S
Saint Augustine, FL 32080-6899

Phone

(904) 461-5788

NPI assigned

Feb 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anastasia Dental Associates PLLC

  • Dentist
  • St Augustine, FL
  • NPI 1992335004
  NPD (past)
• Michael & Maria Domingoes,PA

  dba Anastasia Dental Asscociates

  • General Practice Dentistry
  • St Augustine, FL
  • NPI 1447426671
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336284215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3534 A1A S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320806899",
            "telephone_number": "904-461-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 A1A S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320806899",
            "telephone_number": "904-461-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGOES",
        "first_name": "MICHEAL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN12312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlee Doerr
• Desarae Nicole Dohogne, PT
• Frederick C Dolgin, M.D.
• Amy Domico
• Maria Valdes Domingoes, D.M.D.
• Virgen L Dominguez, LCSW
• Lynn Zwiercan Dompe
• Deyoung Don, PT, DPT
• Bibiana Donahue
• Haley Margaret Donahue

• Dentist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.