Cathleen Domingo-Nguyen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43333 Issued in CA

Practice address

473 Encinitas Blvd
Encinitas, CA 92024-3729

Phone

(760) 634-2024

Fax

(760) 634-7970

NPI assigned

Feb 25, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 18, 2016 through May 18, 2028

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.

• Tuan M Nguyen DDS Professional Corporation

  • Dentist
  • Enacinitas, CA
  • NPI 1538261276
  NPD (past) Authorized official
• Will & Chan Dental Corporation

  • Dental Clinic/Center
  • Encinitas, CA
  • NPI 1780272344
  NPD (past)

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376679407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 ENCINITAS BLVD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243729",
            "telephone_number": "760-634-2024",
            "fax_number": "760-634-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 ENCINITAS BLVD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243729",
            "telephone_number": "760-634-2024",
            "fax_number": "760-634-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO-NGUYEN",
        "first_name": "CATHLEEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Burbank Dohrenwend, M.D.
• Heidi Doland, MA, AMFT
• Elena A Dolgonos, MD
• Dolores L. Fazzino, RN, a Professional Nursing Corporation
• Shannon Renee Dolphin, L.AC.
• Ashley Domingo
• Kathleen H Dominguez, P.A.
• Ashley Dominique, PA-C
• Denise Donar
• Lauren Donnelly, D.O.

• General Practice Dentistry in Encinitas, CA
• Providers in Encinitas, CA by specialty
• General Practice Dentistry in California

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.