Individual provider Active NPI

Daniel Dominguez, D.D.S

  • Dentist
  • Houston, TX
National Provider Identifier
1821583063
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
34189 Issued in TX
Practice address
150 W Parker Rd Ste 702
Houston, TX 77076-2940
Phone
(713) 244-5528
NPI assigned
Jun 29, 2018
Last updated
Jun 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 34189 TX Primary

Addresses

Primary practice location

150 W Parker Rd Ste 702
Houston, TX 77076-2940

Mailing address

935 N Wilcrest Dr Apt 4079
Houston, TX 77079-3578
Phone (210) 816-1956

Other practice location 1

6333 Barker Cypress Rd Ste A
Houston, TX 77084-1625
Phone (713) 691-1188

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

State licenses

LicenseStateTypeSpecialty
34189TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
La Michoacana Dental Clinic LLC Past Accepting new patients
La Michoacana Dental Clinic#3 LLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1821583063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 N WILCREST DR APT 4079",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770793578",
            "telephone_number": "210-816-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W PARKER RD STE 702",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770762940",
            "telephone_number": "713-244-5528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6333 Barker Cypress Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770841625",
            "country_code": "US",
            "telephone_number": "713-691-1188",
            "fax_number": "713-691-1196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.