Active NPI
Dominic Liguori, NP
- Family Nurse Practitioner
- Boerne, TX
National Provider Identifier
1669063970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1020674
- Practice address
- 625 N Main St
Boerne, TX 78006-1621 - Phone
- (512) 237-4606
- Fax
- (956) 928-9532
- NPI assigned
- Jan 29, 2021
- Reactivated
- Mar 16, 2026
- Last updated
- Jun 29, 2026
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1020674 | TX | Primary |
Addresses
Primary practice location
625 N Main St
Boerne, TX 78006-1621
Mailing address
1908 N Laurent St Ste 250
Victoria, TX 77901-5417
Phone (361) 576-0694
Other practice location 1
602 Babcock Rd
San Antonio, TX 78201-3101
Phone (210) 731-1000
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1020674 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1669063970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 N LAURENT ST STE 250",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779015417",
"telephone_number": "361-576-0694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 N MAIN ST",
"city": "BOERNE",
"state": "TX",
"postal_code": "780061621",
"telephone_number": "512-237-4606",
"fax_number": "956-928-9532"
}
],
"practiceLocations": [
{
"address_1": "602 Babcock Rd",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782013101",
"country_code": "US",
"telephone_number": "210-731-1000",
"fax_number": "956-928-9532",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIGUORI",
"first_name": "DOMINIC",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-29",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"deactivation_date": "2022-02-07",
"reactivation_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1020674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.