Individual provider Active NPI

Luis Ramiro Dominicis Jr., DDS

  • General Practice Dentistry
  • El Monte, CA
National Provider Identifier
1851557532
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS57246 Issued in CA
Practice address
10418 Valley Blvd
Suite B
El Monte, CA 91731-3600
Phone
(626) 453-8466
Fax
(626) 453-8465
NPI assigned
Aug 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS57246 CA Primary

Addresses

Primary practice location

10418 Valley Blvd
Suite B
El Monte, CA 91731-3600

Mailing address

8202 Florence Ave
Suite 101
Downey, CA 90240-3937
Phone (562) 861-8807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121023000224 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0446400741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS57246CAMDGeneral Practice Dentistry
57246CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dominicis Dental Group General Practice Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1851557532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 FLORENCE AVE",
            "address_2": "SUITE 101",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403937",
            "telephone_number": "562-861-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10418 VALLEY BLVD",
            "address_2": "SUITE B",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917313600",
            "telephone_number": "626-453-8466",
            "fax_number": "626-453-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINICIS",
        "first_name": "LUIS",
        "middle_name": "RAMIRO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS57246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.