Active NPI
Domingo Diaz-Vazquez
- Homemaker
- Liberty TWP, OH
National Provider Identifier
1598367674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 6728 Raven CRST
Liberty TWP, OH 45011-9235 - Phone
- (937) 270-7163
- NPI assigned
- Nov 12, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
6728 Raven CRST
Liberty TWP, OH 45011-9235
Mailing address
1740 E Stroop Rd Unit 292633
Kettering, OH 45429-7537
Other practice location 1
1740 E Stroop Rd Unit 292633
Kettering, OH 45429-7537
Phone (937) 270-7163
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": "1605139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1598367674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 E STROOP RD UNIT 292633",
"city": "KETTERING",
"state": "OH",
"postal_code": "454297537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6728 RAVEN CRST",
"city": "LIBERTY TWP",
"state": "OH",
"postal_code": "450119235",
"telephone_number": "937-270-7163"
}
],
"practiceLocations": [
{
"address_1": "1740 E Stroop Rd Unit 292633",
"address_purpose": "LOCATION",
"city": "Kettering",
"state": "OH",
"postal_code": "454297537",
"country_code": "US",
"telephone_number": "937-270-7163",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAZ-VAZQUEZ",
"first_name": "DOMINGO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-12",
"last_updated": "2020-11-17",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liberty TWP, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.