DOMINIC CHRISTIAN CANCINO MD
NPI 1851038285
Student in an Organized Health Care Education/Training Program in Kansas City, KS

Q: What is Dominic Cancino's NPI number?

The NPI number for Dominic Cancino is 1851038285. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Q: What is Dominic Cancino's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dominic Cancino was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 17, 2022PECOS Enrolled

3901 RAINBOW BLVD # MS 2028, KANSAS CITY, KS 66160(913) 588-6245 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dominic Christian Cancino Md NPPES

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

DOMINIC CHRISTIAN CANCINO MD (NPI 1851038285) is an individual student in an organized health care education/training program in Kansas City, Kansas and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851038285

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDOMINIC CHRISTIAN CANCINOCredential: MD

Location Address3901 RAINBOW BLVD # MS 2028Kansas City, KS 66160-8500

Mailing Address3901 Rainbow Blvd # Ms 2028Kansas City, KS 66160-8500 · (913) 588-6245

Phone(913) 588-6245

Sole ProprietorNo

Enumeration DateMay 17, 2022

NPPES CertifiedMay 17, 2022

✔ NPI 1851038285 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.

3901 RAINBOW BLVD # MS 2028, Kansas City, KS 66160

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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)

Dominic Christian Cancino Md 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 20

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

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