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DR. DOMINIQUE GNATOWSKI
NPI 1114595931
Dentist - General Practice in Philadelphia, PA

Active since June 17, 2021PECOS Enrolled
4250 RICHMOND ST, PHILADELPHIA, PA 19137(215) 533-2787 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 6, 2021, Jun 17, 2021 (2 updates tracked since 2021).

About Dr. Dominique Gnatowski NPPES

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

DR. DOMINIQUE GNATOWSKI (NPI 1114595931) is an individual general practice provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS045348) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114595931
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DOMINIQUE GNATOWSKI
Location Address4250 RICHMOND STPhiladelphia, PA 19137-1928
Mailing Address4250 Richmond StPhiladelphia, PA 19137-1928
Phone(215) 533-2787
Sole ProprietorNo
Enumeration DateJune 17, 2021
Last NPPES UpdateJuly 29, 20252 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
✔ NPI 1114595931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS045348
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 13202
4250 RICHMOND ST, Philadelphia, PA 19137
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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)

Dr. Dominique Gnatowski 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 19137 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 NPPES & CMS

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

What is Dominique Gnatowski's NPI number?

The NPI number for Dominique Gnatowski is 1114595931. It was assigned to this individual provider in the NPPES registry on June 17, 2021.

Where is Dominique Gnatowski located?

Dominique Gnatowski practices at 4250 Richmond St, Philadelphia, PA 19137. The listed phone number is (215) 533-2787.

What is Dominique Gnatowski's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Dominique Gnatowski enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Dominique Gnatowski was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.