Vanessa De la Barca Dominguez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27320 Issued in FL

Practice address

10114 SW 107TH Ave
Miami, FL 33176-2760

Phone

(305) 305-5830

NPI assigned

Jul 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Coral Gables Vista Dentistry PA

  • General Practice Dentistry
  • Miami, FL
  • NPI 1730963398
  NPD Authorized official

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1972237386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6891 SW 51ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555707",
            "telephone_number": "305-305-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10114 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762760",
            "telephone_number": "305-305-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA BARCA DOMINGUEZ",
        "first_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "27320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle De Jesus
• Nidia Haydee De Jesus, M.D., PH.D.
• Rachel De Juan Morales, RBT
• Carmen E De Juan
• Myriam De la Asuncion, AUD
• Anabel De la Barrera
• Daniel Alejandro De la Calle
• Gilda M De la Calle, MD
• Sofia De la Camara, NP
• Eliseo Abel De la Campa Perez

• General Practice Dentistry in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.