Dominique Pantino Harper, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

002165 Issued in CT

Practice address

100 Grand St
Department of Pediatrics
New Britain, CT 06052-2016

Phone

(860) 224-5691

NPI assigned

Sep 30, 2008

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Fairfield County Healthcare Associates

  • Pediatrics Physician
  • Trumbull, CT
  • NPI 1235212036
  NPD (past)

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1376793059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 MATHER ST",
            "address_2": "APARTMENT 203",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143148",
            "telephone_number": "631-805-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRAND ST",
            "address_2": "DEPARTMENT OF PEDIATRICS",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060522016",
            "telephone_number": "860-224-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "DOMINIQUE",
        "middle_name": "PANTINO",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "002165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marielle Jean Handley, PT, DPT, NCS
• Alicja Jadwiga Harbut III, MD
• John Joseph Harbut, M.D.
• Sarah E Hardy, PHD
• Molly Harmon, LPCA
• Alexandra L. Harris, DO
• Shana Harris, PHD
• Sonja Harris
• Adam Bradley Harrison, PSY.D.
• Joseph Andrew Harrison, MD

• All providers in New Britain, CT
• Medical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.