Ivette Dominguez Crespo, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32825 Issued in TX

Practice address

15818 South Fwy Ste 140
Pearland, TX 77584-1821

Phone

(832) 810-8485

NPI assigned

Apr 26, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Denta Care PLLC

  • General Practice Dentistry
  • Pearland, TX
  • NPI 1205574357
  NPD Authorized official

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1457706590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15818 SOUTH FWY STE 140",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841821",
            "telephone_number": "832-810-8485",
            "fax_number": "713-352-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15818 SOUTH FWY STE 140",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841821",
            "telephone_number": "832-810-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ CRESPO",
        "first_name": "IVETTE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "32825",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tuyet Doan, DDS
• Kelsey L Dobbs, APRN-CNP
• Doc'S Interventional Sports Medicine and Primary Care P.L.L.C.
• Tracy Dokyi-Okai
• Paul John Domenichini Jr., COTA
• Larisa Janelle Dominguez
• Lillian Dominguez
• Julia Isabel Dominiguez
• Christina Dominy
• Mary Donavon-Olabintan

• General Practice Dentistry in Pearland, TX
• Providers in Pearland, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.