Maria Valdes Domingoes, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN 12422 Issued in FL

Practice address

3534 A1A S
Saint Augustine, FL 32080-6899

Phone

(904) 461-5788

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michael & Maria Domingoes,PA

  dba Anastasia Dental Asscociates

  • General Practice Dentistry
  • St Augustine, FL
  • NPI 1447426671
  NPD (past) Authorized official
• Anastasia Dental Associates PLLC

  • Dentist
  • St Augustine, FL
  • NPI 1992335004
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699810580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3534 A1A S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320806899",
            "telephone_number": "904-461-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 A1A S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320806899",
            "telephone_number": "904-461-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGOES",
        "first_name": "MARIA",
        "middle_name": "VALDES",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 12422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry F Dobies, M.D.
• Ashlee Doerr
• Desarae Nicole Dohogne, PT
• Frederick C Dolgin, M.D.
• Amy Domico
• Micheal W Domingoes, D.M.D.
• Virgen L Dominguez, LCSW
• Lynn Zwiercan Dompe
• Deyoung Don, PT, DPT
• Bibiana Donahue

• Dentist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Dentist in Florida

• 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.

Verify at the official NPI Registry.