Donnellyn Alexander Dominguez, L.M., CPM – Midwife

Key facts

NPI: 1497927040
Entity type: Individual (NPI type 1)
Primary specialty: Midwife 176B00000X
License: 99051 (TX)
Practice address: 305 E FM 1830
Argyle, TX 76226-4317
Phone: (972) 653-2229
Fax: (866) 941-5104
NPI assigned: Mar 24, 2008
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
99051	TX	MD	Midwife

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Midwife	176B00000X	99051	TX	Yes

Addresses

Primary practice location

305 E FM 1830
Argyle, TX 76226-4317

Mailing address

305 E FM 1830
Argyle, TX 76226-4317
Phone (972) 653-2229

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 10, 2013.

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1497927040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E FM 1830",
            "city": "ARGYLE",
            "state": "TX",
            "postal_code": "762264317",
            "telephone_number": "972-653-2229",
            "fax_number": "866-941-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E FM 1830",
            "city": "ARGYLE",
            "state": "TX",
            "postal_code": "762264317",
            "telephone_number": "972-653-2229",
            "fax_number": "866-941-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "DONNELLYN",
        "middle_name": "ALEXANDER",
        "credential": "L.M., CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-24",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "99051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Argyle, TX

All providers in Argyle, TX · Midwife in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.