DAVID JAIME DOMINGUEZ (NPI# 1780794917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780794917 |
| Entity Type | Individual |
| Full Name | DAVID JAIME DOMINGUEZ |
| Credential | DDS |
| Practice Address |
17240 Mill Forest Rd Ste A Webster TX 77598 |
| Practice Telephone | 2812809149 |
| Practice Fax Number | 2812800732 |
| Mailing Telephone | 2812809149 |
| Mailing Fax Number | 2812800732 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
014746 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063935989 | David Dominguez | Dentist | 201 N Constitution Dr # 1, Aurora, IL 60506-3214 | 2017-07-23 |
| 1467694521 | David E. Dominguez | Orthopaedic Surgery | 141 Coconut Dr, Indialantic, FL 32903-2607 | 2009-04-03 |
| 1518923259 | David Y Dominguez | Pediatrics | 465 Waverley Oaks Rd Ste 100, Waltham, MA 02452-8484 | 2006-04-21 |
| 1467953117 | David Dominguez | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2018-02-27 |
| 1205257763 | David Dominguez | Physician Assistant | 4502 Medical Dr, San Antonio, TX 78229 | 2013-12-30 |
| 1356422521 | David Alan Dominguez | Physician Assistant | 101 Bodin Circle, David Grant Medical Center, Travis Afb, CA 94535-1800 | 2006-10-17 |
| 1649360512 | David C. Dominguez | Emergency Medicine | Unm Department of Emergency Medicine Msc10, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-10-13 |
| 1689772469 | David Anthony Dominguez | Nurse Practitioner | 814 Caroline Ave, Junction City, KS 66441-5210 | 2006-09-20 |
| 1366451122 | David Dominguez | Family Medicine | 1021 Silver Bluff Rd, Aiken, SC 29803 | 2006-08-07 |
| Street Address |
17240 MILL FOREST RD STE A |
| City | WEBSTER |
| State | TX |
| Zip Code | 77598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164531919 | Don L. Allen Jr. | Dentist | 17240 Mill Forest Rd, Suite C, Webster, TX 77598-4370 | 2006-08-29 |
| 1316351240 | Samantha Tutt | Dentist | 17240 Mill Forest Rd, Suite C, Webster, TX 77598-4370 | 2014-06-18 |
| 1659502961 | Jennifer H Hermstein | Dentist | 17240 Mill Forest Rd, Suite C, Webster, TX 77598-4370 | 2009-08-04 |
| 1538310248 | Mill Forest Dental Group | Dentist | 17240 Mill Forest Rd, Suite C, Webster, TX 77598-4370 | 2008-10-01 |
| 1982813168 | Jennifer Leigh Butler | Dentist | 17240 Mill Forest Rd, Suite C, Webster, TX 77598-4370 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816376 | Philippe Joseph Dentino | Physical Therapist | 14520 Tx-3, Webster, TX 77598 | 2020-09-21 |
| 1093324428 | Complete Care Obgyn and Family Medicine Pllc | Obstetrics & Gynecology | 1408 W Nasa Parkway, Ste A, Webster, TX 77598 | 2020-07-31 |
| 1366082562 | Ryse Chiropractic Plus Spa LLC | Chiropractor | 780 Clear Lake City Blvd., Bldg. 1-a, Webster, TX 77598 | 2020-01-15 |
| 1770133837 | Wellness Vip, LLC | Occupational Therapist | 1011 W.bay Area Blvd Ste. 1102, Webster, TX 77598 | 2019-09-19 |
| 1689236341 | Houston Advanced Surgical Services, LLC | Physician Assistant | 500 W. Medical Center Blvd., Webster, TX 77598 | 2019-07-02 |
| 1528524295 | Luxury Dialycare Pllc | Clinic/Center | 600 N. Kobayashi Road, Suite 108, Webster, TX 77598 | 2019-02-18 |
| 1124501879 | Vip Vision LLC | Optometrist | 1310 Jasmine St., Webster, TX 77598 | 2018-09-10 |
| 1073094322 | Asha Mathew | Family Medicine | Brain and Spine Clinic Pa, Suite 250, 400 W Medical Center Blvd, Webster, TX 77598 | 2018-08-24 |
| 1760960991 | Bryce Ethan Jeffrey | Physical Therapist | 1416 Fm 528 Ste A, Webster, TX 77598 | 2018-07-31 |
| 1841777281 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1310 Jasmine Avenue, Webster, TX 77598 | 2018-07-27 |
| Find all providers in zip 77598 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386779 | Daniela Rubiano Mejia | Dentist | 505 W Louis Henna Blvd Ste 505, Austin, TX 78728-1701 | 2020-11-05 |
| 1235738527 | Lorena Malpica | Dentist | 5602 Presidio Pkwy Apt 1411, San Antonio, TX 78249-3093 | 2020-10-19 |
| 1922606870 | Luciano Retana | Dentist | 1235 Kinwest Pkwy, Irving, TX 75063-3403 | 2020-10-13 |
| 1295332393 | Jonathan P Hawley | Dentist | 2423 Barrow St, Abilene, TX 79605-6203 | 2020-10-02 |
| 1629684402 | Ramon Noel Hernandez | Dentist | 13000 N Interstate 35 Ste 206, Austin, TX 78753-1030 | 2020-09-17 |
| 1720697600 | Silvia Sobrecueva | Dentist | 4724 Sweetwater Blvd Ste 103, Sugar Land, TX 77479-3150 | 2020-07-27 |
| 1922620400 | Luis Herra | Dentist | 3838 N Braeswood Blvd Apt 249, Houston, TX 77025-3018 | 2020-05-07 |
| 1396381398 | Sixth Dental Partner Pllc | Dentist | 6700 Stonebrook Pkwy Ste 101, Frisco, TX 75034-9639 | 2019-11-25 |
| 1902442155 | Amin Ehsan | Dentist | 106 W Gray St, Houston, Houston, TX 77019 | 2019-11-22 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.