Organization Active NPI

Mercedes S Dominguez, DDS, Ms, PA

  • Specialist
  • Irving, TX
National Provider Identifier
1962731927
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20568 Issued in TX
Legal business name
MERCEDES S DOMINGUEZ, DDS, MS, PA
Practice address
7200 N Highway 161
Suite 215
Irving, TX 75039-4132
Phone
(972) 556-2100
Fax
(972) 556-2112
NPI assigned
Dec 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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

Authorized official

Name
Dr. Mercedes S Dominguez, DDS, MSNPI 1558370601
Title
President
Phone
(972) 556-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 20568 TX Primary

Addresses

Primary practice location

7200 N Highway 161
Suite 215
Irving, TX 75039-4132

Mailing address

7200 N Highway 161
Suite 215
Irving, TX 75039-4132
Phone (972) 556-2100

National Provider Directory

National Provider Directory

Locations

7200 State Highway 161
Ste 215
Irving, TX 75039
Phone (972) 556-2100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1962731927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 N HIGHWAY 161",
            "address_2": "SUITE 215",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750394132",
            "telephone_number": "972-556-2100",
            "fax_number": "972-556-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 N HIGHWAY 161",
            "address_2": "SUITE 215",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750394132",
            "telephone_number": "972-556-2100",
            "fax_number": "972-556-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCEDES S DOMINGUEZ, DDS, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-556-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "20568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.