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TERRY GAYLE DOMINO MD
NPI 1396727988
Family Medicine in Roseville, MN

Active since November 18, 2005
1835 WEST COUNTY ROAD C, ROSEVILLE, MN 55113(763) 785-4300(763) 785-3314 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Terry Gayle Domino Md NPPES

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

TERRY GAYLE DOMINO MD (NPI 1396727988) is an individual family medicine provider in Roseville, Minnesota, licensed in Minnesota (22141) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1396727988
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTERRY GAYLE DOMINOCredential: MD
Location Address1835 WEST COUNTY ROAD CRoseville, MN 55113-1304
Mailing Address1835 West County Road CRoseville, MN 55113-1304 · (763) 785-4300 · Fax (763) 785-3314
Phone(763) 785-4300
Fax(763) 785-3314
Sole ProprietorNo
Enumeration DateNovember 18, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396727988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 22141
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1835 WEST COUNTY ROAD C, Roseville, MN 55113
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Other Identifiers 2

Medicare UPINB52472
Medicaid33858500CMN

Other Providers at the Same Location NPPES

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

CHERYL MARIE KLENOW M.D.
Preventive Medicine (Occupational Medicine)
1835 WEST COUNTY ROAD C
ROSEVILLE, MN 55113
Ramsey County (763) 785-4500

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 Terry Domino's NPI number?

The NPI number for Terry Domino is 1396727988. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Terry Domino located?

Terry Domino practices at 1835 West County Road C, Roseville, MN 55113. The listed phone number is (763) 785-4300.

What is Terry Domino's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Terry Domino was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.