DOMINIQUE SHANEY SUBER RDHAP
NPI 1043030190
Dental Hygienist in Fairfield, CA

Q: What is Dominique Suber's NPI number?

The NPI number for Dominique Suber is 1043030190. It was assigned to this individual provider in the NPPES registry on October 14, 2024.

Q: What is Dominique Suber's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Dominique Suber was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 14, 2024PECOS Enrolled

3175 PUFFIN CIR, FAIRFIELD, CA 94533(925) 421-8302 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dominique Shaney Suber Rdhap NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIQUE SHANEY SUBER RDHAP (NPI 1043030190) is an individual dental hygienist in Fairfield, California, licensed in California (HAP1092) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043030190

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameDOMINIQUE SHANEY SUBERCredential: RDHAP

Location Address3175 PUFFIN CIRFairfield, CA 94533-8914

Mailing Address3175 Puffin CirFairfield, CA 94533-8914 · (925) 421-8302

Phone(925) 421-8302

Sole ProprietorNo

Enumeration DateOctober 14, 2024

NPPES CertifiedOctober 14, 2024

✔ NPI 1043030190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in CA · HAP1092

Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

3175 PUFFIN CIR, Fairfield, CA 94533

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique Shaney Suber Rdhap is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARMING SMILES INC. DENTAL HYGIENE,PRACTICE OF DOMINIQUE SUBER,RDHAP

Clinic/Center (Dental)

3175 PUFFIN CIR
FAIRFIELD, CA 94533

Solano County (925) 421-8302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Suber's NPI number?

The NPI number for Dominique Suber is 1043030190. It was assigned to this individual provider in the NPPES registry on October 14, 2024.

Where is Dominique Suber located?

Dominique Suber practices at 3175 Puffin Cir, Fairfield, CA 94533. The listed phone number is (925) 421-8302.

What is Dominique Suber's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Is Dominique Suber enrolled in Medicare?

Yes. Dominique Suber is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dominique Suber was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.