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Dominique Thaxton

NPI 1518799352ActiveIndividual· Contractor· Saint Paul, MN

Contractor in Saint Paul, Minnesota, with an NPI issued in August 2024.

Overview

NPI1518799352
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedAug 19, 2024
Last updated in NPPESAug 19, 2024
Certified by providerAug 19, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Contractor Primary171W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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