Dominion DME, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DOMINION DME, INC.

Practice address

1618 Hardy Cash Dr
Hampton, VA 23666-2400

Phone

(757) 838-4054

Fax

(757) 838-8899

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Joanna Wells Kibwe

Title

Administrator

Phone

(757) 838-4054

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710932371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 HARDY CASH DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662400",
            "telephone_number": "757-838-4054",
            "fax_number": "757-838-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 HARDY CASH DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662400",
            "telephone_number": "757-838-4054",
            "fax_number": "757-838-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION DME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIBWE",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "WELLS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-838-4054",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9190899",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Wesley Dixon, IDC
• Walter D Dixon, MD
• Tam Thi Minh DO, MD
• Camilla M. Doctor, LCSW
• Shelby Glass Dodd, LPC LIC PROF COUNS
• Dominion Physical Therapy & Associates Inc.
• Dominion Physical Therapy and Associates Incorporated
• Dominion Services for All People
• Hannah Donaldson
• Richard John Donzell Jr., D.D.S.

• Durable Medical Equipment & Medical Supplies in Hampton, VA
• Providers in Hampton, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.