Joann Dominguez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA05572 Issued in TX

Practice address

4150 N Collins St
Arlington, TX 76005-4547

Phone

(817) 337-6604

NPI assigned

Feb 13, 2008

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Monty V. Trimble , MD, P.a

  • Specialist
  • Fort Worth, TX
  • NPI 1265600639
  Medicare reassignment
• RRR Hyperbarics 1

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Flower Mound, TX
  • NPI 1407278286
  Medicare reassignment

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1841468808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 HUDSON BAY LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762081550",
            "telephone_number": "214-287-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 N COLLINS ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760054547",
            "telephone_number": "817-337-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "JOANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Huyen Doan, DC
• Christy Sharee Dobbs, M.S., LPC-I
• Ellouise Mildred Dodge, RPH
• Marilyn Domangue, FNP-C
• Grisel Sulema Dominguez Gonzalez, APRN,FNP-C
• Rocio Maribel Dominguez, M.S., CF-SLP
• Dominion 1 Dental Dental Group PLLC
• Dominion 1 Dental Group PLLC
• Dominique Angels Home Care LLC
• Dominique Angels Home Care LLC

• Physician Assistant in Arlington, TX
• Providers in Arlington, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.