Dominic Ansari Pediatrics, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD452657 Issued in PA

Legal business name

DOMINIC ANSARI PEDIATRICS, PLLC

Practice address

2028 E Ben White Blvd
Ste 240a
Austin, TX 78741-6966

Phone

(832) 930-1366

NPI assigned

Jul 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Dominic Omar Ansari, M.D.

Title

Managing Member

Phone

(832) 930-1366

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1497130751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 E BEN WHITE BLVD",
            "address_2": "STE 240-8801",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787416966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 E BEN WHITE BLVD",
            "address_2": "STE 240A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787416966",
            "telephone_number": "832-930-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIC ANSARI PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "OMAR",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "832-930-1366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD452657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Michelle Dominguez, RN
• Elizabeth Dominguez
• Joshua M Dominguez, PHARM.D.
• Marco Antonio Vasquez Dominguez
• Mikaela Dominguez
• Dominion Medical Associates PA
• Samantha Domino
• Kenneth William Domuczicz Jr., MD
• Heather D Donaghey, CPNP
• John Donahoe, M.D.

• Pediatrics Physician in Austin, TX
• Providers in Austin, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.