L M Dominguez PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

16386 Issued in AZ

Legal business name

L M DOMINGUEZ PC

Practice address

8144 E Cactus Rd
Suite 800
Scottsdale, AZ 85260-5266

Phone

(480) 596-8525

Fax

(480) 596-8522

NPI assigned

Apr 9, 2008

Organization subpart

No

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

Authorized official

Name

Luis M Dominguez, MD

Title

Owner

Phone

(480) 596-8525

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1932372034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26904",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850686904",
            "telephone_number": "480-596-8525",
            "fax_number": "480-596-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8144 E CACTUS RD",
            "address_2": "SUITE 800",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605266",
            "telephone_number": "480-596-8525",
            "fax_number": "480-596-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L M DOMINGUEZ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-596-8525",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "16386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286866",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "AW6904",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0766790",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• San Michael Kyte, PA-C
• L.M. McHenry, DO, PLLC
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• John D La Douceur, PTA
• Theresa Lynn La Luzerne, MSN , FNP-C
• Luke Andrew Labate, DPT

• Specialist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.