JESSE DOMINGUEZ
NPI 1245198696
Technician/Technologist in Fort Wayne, IN

Active since January 14, 2026
7970 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 435-6100 Get Directions Write a Review

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

About Jesse Dominguez NPPES

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

JESSE DOMINGUEZ (NPI 1245198696) is an individual technician/technologist in Fort Wayne, Indiana, licensed in Indiana (67047515A) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1245198696
Entity TypeIndividualMale
Primary Taxonomy156F00000X
Provider Legal NameJESSE DOMINGUEZ
Location Address7970 W JEFFERSON BLVDFort Wayne, IN 46804-4140
Mailing Address1131 Sinclair StFort Wayne, IN 46808-2647 · (260) 710-1290
Sole ProprietorYes
Enumeration DateJanuary 14, 2026
NPPES CertifiedJanuary 14, 2026
NPI 1245198696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician/TechnologistEye and Vision Services Providers
Taxonomy Code156F00000X
License Licensed in IN · 67047515A
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
7970 W JEFFERSON BLVD, Fort Wayne, IN 46804

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

Physical Medicine & Rehabilitation
7970 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Nurse Practitioner (Acute Care)
7970 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Physical Medicine & Rehabilitation
7970 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Physical Medicine & Rehabilitation
7970 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Pharmacy Technician
7970 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Nurse's Aide
7970 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Physical Therapy Assistant
7970 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Internal Medicine
7970 W JEFFERSON BLVD
FORT WAYNE, IN 46804

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 Jesse Dominguez's NPI number?

The NPI number for Jesse Dominguez is 1245198696. It was assigned to this individual provider in the NPPES registry on January 14, 2026.

Where is Jesse Dominguez located?

Jesse Dominguez practices at 7970 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 435-6100.

What is Jesse Dominguez's specialty?

The primary specialty registered for this NPI is Technician/Technologist with taxonomy code 156F00000X.

When was this NPI record last updated?

The NPPES record for Jesse Dominguez was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.