Active NPI
Erwin Joseph Domingo, D.D.S.
- Oral and Maxillofacial Pathology Dentistry
- Woonsocket, RI
National Provider Identifier
1659322725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 2736
- Practice address
- 20 Cumberland Hill Rd
Suite 101
Woonsocket, RI 02895-4854 - Phone
- (401) 769-1200
- Fax
- (401) 769-1204
- NPI assigned
- May 13, 2006
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 2736 | RI | Primary |
Addresses
Primary practice location
20 Cumberland Hill Rd
Suite 101
Woonsocket, RI 02895-4854
Mailing address
20 Cumberland Hill Rd
Suite 101
Woonsocket, RI 02895-4854
Phone (401) 769-1200
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2736 | RI | MD | Oral and Maxillofacial Pathology Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659322725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 CUMBERLAND HILL RD",
"address_2": "SUITE 101",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028954854",
"telephone_number": "401-769-1200",
"fax_number": "401-769-1204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CUMBERLAND HILL RD",
"address_2": "SUITE 101",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028954854",
"telephone_number": "401-769-1200",
"fax_number": "401-769-1204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGO",
"first_name": "ERWIN",
"middle_name": "JOSEPH",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "RI",
"license": "2736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.