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DOMINIQUE IIDA
NPI 1568306413
Student in an Organized Health Care Education/Training Program in Lubbock, TX

Active since April 20, 2026PECOS Enrolled
3601 4TH ST STOP 8182, LUBBOCK, TX 79430(806) 743-3381(806) 743-2984 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominique Iida NPPES

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

DOMINIQUE IIDA (NPI 1568306413) is an individual student in an organized health care education/training program in Lubbock, Texas and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568306413
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDOMINIQUE IIDA
Location Address3601 4TH ST STOP 8182Lubbock, TX 79430-8182
Mailing Address3601 4th St Stop 8182Lubbock, TX 79430-8182 · (806) 743-3381 · Fax (806) 743-2984
Phone(806) 743-3381
Fax(806) 743-2984
Sole ProprietorNo
Enumeration DateApril 20, 2026
NPPES CertifiedApril 19, 2026
✔ NPI 1568306413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3601 4TH ST STOP 8182, Lubbock, TX 79430
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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 Iida 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 6

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

NATHAN DUBOIS MD
Student in an Organized Health Care Education/Training Program
3601 4TH ST STOP 8182
LUBBOCK, TX 79430
Lubbock County (806) 743-3381
DR. SPENCER THOMAS MD
Anesthesiology
3601 4TH ST STOP 8182
LUBBOCK, TX 79430
Lubbock County (806) 743-2981
KANISHK GOEL MD
Student in an Organized Health Care Education/Training Program
3601 4TH ST STOP 8182
LUBBOCK, TX 79430
Lubbock County (806) 786-8348
AUSTIN EVANOVICH DO
Student in an Organized Health Care Education/Training Program
3601 4TH ST STOP 8182
LUBBOCK, TX 79430
Lubbock County (806) 743-3381
CHASE CLANTON
Anesthesiology
3601 4TH ST STOP 8182
LUBBOCK, TX 79430
Lubbock County (806) 743-2981
DREW MCINTIRE CAMPBELL MD
Student in an Organized Health Care Education/Training Program
3601 4TH ST STOP 8182
LUBBOCK, TX 79430
Lubbock County (806) 743-2981

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 Iida's NPI number?

The NPI number for Dominique Iida is 1568306413. It was assigned to this individual provider in the NPPES registry on April 20, 2026.

Where is Dominique Iida located?

Dominique Iida practices at 3601 4th St Stop 8182, Lubbock, TX 79430. The listed phone number is (806) 743-3381.

What is Dominique Iida's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dominique Iida enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Dominique Iida was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.