Active NPI
Nolberto Dominguez
- Counselor
- Raton, NM
National Provider Identifier
1376857805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 130 N 2ND St
Raton, NM 87740-3804 - Phone
- (575) 445-3557
- Fax
- (575) 445-2409
- NPI assigned
- Jul 26, 2010
- Last updated
- Jul 26, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
130 N 2ND St
Raton, NM 87740-3804
Mailing address
704 Nevada Ave Apt 4
Raton, NM 87740-3760
Phone (575) 707-1842
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280102400000",
"number": "1376857805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 NEVADA AVE APT 4",
"city": "RATON",
"state": "NM",
"postal_code": "877403760",
"telephone_number": "575-707-1842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 N 2ND ST",
"city": "RATON",
"state": "NM",
"postal_code": "877403804",
"telephone_number": "575-445-3557",
"fax_number": "575-445-2409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "NOLBERTO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-26",
"last_updated": "2010-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raton, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.