David Dominguez, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1246241 Issued in SC

Practice address

1021 Silver Bluff Rd
Aiken, SC 29803

Phone

(806) 648-0587

Fax

(803) 648-9846

NPI assigned

Aug 7, 2006

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 SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Ellis Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Waxahachie, TX
  • NPI 1902856107
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1366451122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "803-648-0587",
            "fax_number": "806-648-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 SILVER BLUFF RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "29803",
            "telephone_number": "806-648-0587",
            "fax_number": "803-648-9846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Walnut Ln Ste 102",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298608629",
            "country_code": "US",
            "telephone_number": "803-202-7110",
            "fax_number": "803-202-7111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Georgia Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298413848",
            "country_code": "US",
            "telephone_number": "803-202-3351",
            "fax_number": "803-819-8532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3515 Richland Ave",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298016311",
            "country_code": "US",
            "telephone_number": "803-642-2626",
            "fax_number": "806-642-2960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "1246241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naquita Michelle Dixson, DMD
• Dejan Djolic, DC
• Doctors Care SC, PA
• Doctors Care SC, PA
• Michael Gene Dodson, PHD
• Paige L Donahue
• Laura Hope Donatelli, LISW-CP
• Jaime L Dowd, LMT, CPMT
• Cynthia Dowda
• Andrea Meeks Downs, OTR/L

• Family Medicine Physician in Aiken, SC
• Providers in Aiken, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.