Active NPI
Christian Santy Dominguez, LMT
- Massage Therapist
- Miami, FL
National Provider Identifier
1942789169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA89399
- Practice address
- 8900 Coral Way Ste 202
Miami, FL 33165-2075 - Phone
- (305) 392-0765
- NPI assigned
- Aug 8, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA89399 | FL | Primary |
Addresses
Primary practice location
8900 Coral Way Ste 202
Miami, FL 33165-2075
Mailing address
8900 Coral Way Ste 202
Miami, FL 33165-2075
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 |
|---|---|---|---|
| MA89399 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Medical Group Corp | Multi-Specialty | Current | Accepting new patients |
| 305 Medical Care Inc | Multi-Specialty | Current | Accepting new patients |
| Eastern Medical Center Corp | Multi-Specialty | Current | Accepting new patients |
Locations
8900 SW 24th St
Ste 202
Miami, FL 33165
Phone (305) 220-6435
Organizations & group practices 3
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": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1942789169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 CORAL WAY STE 202",
"city": "MIAMI",
"state": "FL",
"postal_code": "331652075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 CORAL WAY STE 202",
"city": "MIAMI",
"state": "FL",
"postal_code": "331652075",
"telephone_number": "305-392-0765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "CHRISTIAN",
"middle_name": "SANTY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-08",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA89399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.