DR. DAVID DOMINGUEZ DMD
NPI 1063935989
Dentist in Aurora, IL

Active since July 23, 2017PECOS Enrolled
201 N CONSTITUTION DR # 1, AURORA, IL 60506(630) 896-4516 Get Directions Write a Review

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 9, 2019, Jul 23, 2017 (2 updates tracked since 2017).

About Dr. David Dominguez Dmd NPPES

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

DR. DAVID DOMINGUEZ DMD (NPI 1063935989) is an individual dentist in Aurora, Illinois, licensed in Illinois (019031489) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063935989
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DAVID DOMINGUEZCredential: DMD
Location Address201 N CONSTITUTION DR # 1Aurora, IL 60506-3214
Mailing Address410 Lakeview DrAurora, IL 60506-4444 · (630) 715-5046
Sole ProprietorYes
Enumeration DateJuly 23, 2017
Last NPPES UpdateJanuary 9, 20192 updates tracked since enumeration
NPI 1063935989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IL · 019031489
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

201 N CONSTITUTION DR # 1, Aurora, IL 60506

Secondary Practice Locations 2

Location 13825 Campton Hills DrSt Charles, IL 60175-6062 · Phone (630) 584-0506
Location 2157 S Lincoln Ave Ste CAurora, IL 60505-4291 · Phone (630) 859-0155

Other Identifiers 1

Medicaid019031489IL

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. David Dominguez Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063935989, enumerated as an "individual" on July 23, 2017.

The provider is located at 201 N CONSTITUTION DR # 1 AURORA, IL 60506 and the phone number is (630) 896-4516.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: BEST Life, Blue Cross and Blue Shield of Montana,. Please consult your insurance carrier or call the provider to verify.