Individual provider Active NPI

Dominica Dasha Hart, LSA

  • Surgical Assistant
  • Katy, TX
National Provider Identifier
1356020333
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
SA00979 Issued in NU
Practice address
5304 E 5TH St Ste 103-1011
Katy, TX 77493-2533
Phone
(832) 209-6458
NPI assigned
Jul 17, 2023
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X SA00979 NU Primary

Addresses

Primary practice location

5304 E 5TH St Ste 103-1011
Katy, TX 77493-2533

Mailing address

5304 E 5TH St Ste 103-1011
Katy, TX 77493-2533
Phone (832) 209-6458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 Binz St
Houston, TX 77004-6997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arra Surgical Assistants, LLC Surgical Assistant CurrentSince Aug 25, 2025 Accepting new patients
Advanced Surgical Assistants LLC Surgical Assistant PastSince Jul 1, 2023 Accepting new patients

Locations

5304 E 5th St
Ste 1031011
Katy, TX 77493
Phone (832) 209-6458

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24405/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1356020333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304 E 5TH ST STE 103-1011",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932533",
            "telephone_number": "832-209-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 E 5TH ST STE 103-1011",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932533",
            "telephone_number": "832-209-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "DOMINICA",
        "middle_name": "DASHA",
        "credential": "LSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NU",
            "license": "SA00979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.