Individual provider Active NPI

Blanca G Sanchez-Dominguez, CPT

  • Phlebology Physician
  • Minneapolis, MN
National Provider Identifier
1912610486
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
N22106286 Issued in MN
Practice address
1400 S 2ND St Apt C104
Minneapolis, MN 55454-1077
Phone
(612) 770-3513
NPI assigned
Dec 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X N22106286 MN Primary

Addresses

Primary practice location

1400 S 2ND St Apt C104
Minneapolis, MN 55454-1077

Mailing address

1730 New Brighton Blvd Ste 104-221
Minneapolis, MN 55413-1248
Phone (612) 770-3513

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
N22106286MNMDPhlebology Physician

NPI Registry JSON

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1912610486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 NEW BRIGHTON BLVD STE 104-221",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131248",
            "telephone_number": "612-770-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S 2ND ST APT C104",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541077",
            "telephone_number": "612-770-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ-DOMINGUEZ",
        "first_name": "BLANCA",
        "middle_name": "G",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "MN",
            "license": "N22106286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.