Active NPI
Blanca G Sanchez-Dominguez, CPT
- Phlebology Physician
- Minneapolis, MN
National Provider Identifier
1912610486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- N22106286
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| N22106286 | MN | MD | Phlebology 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.