Active NPIIndividual provider

Dr. Keith R Dominick, MD

Pediatrics in Manchester, New Hampshire

NPI Number1609099431
Practice location
1245 Elm St, Manchester, NH 03101-1308
Fax
833-448-1486
Last updated
May 27, 2026

Keith Richard Dominick is a Pediatrics based in Manchester, NH. Keith Richard Dominick practices in Manchester, NH and has the professional credentials of MD. The NPI Number for Keith Richard Dominick is 1609099431 and holds a License No. 14494 (NH). The current practice location address for Keith Richard Dominick is 1245 Elm St, Manchester, NH 03101-1308 and can be reached out via phone at 603-626-9500 and via fax at 833-448-1486.

Provider Profile Details

NPI Number
1609099431
Provider Name
Keith Richard Dominick
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1245 Elm St, Manchester, NH 03101-1308
Phone Number
603-626-9500
Fax Number
833-448-1486
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
April 10, 2007
Last Update Date
May 27, 2026
Certification Date
May 27, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1245 Elm St
Manchester, NH 03101-1308
Zip
03101-1308
Phone Number
603-626-9500
Fax Number
833-448-1486
Manchester, NH 03101Get directions →

Provider Business Mailing Address Details

Address
145 Hollis St
Manchester, NH 03101-1235
City
Manchester
State
NH
Zip
03101-1235
Phone Number
603-626-9500
Fax Number
833-448-1486

License Information

License Number
14494
License State
NH
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Keith R Dominick, MD?

The NPI number of Dr. Keith R Dominick, MD is 1609099431. It was assigned on April 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Keith R Dominick, MD?

Dr. Keith R Dominick, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NH under license number 14494.

Where does Dr. Keith R Dominick, MD practice?

The practice location is 1245 Elm St, Manchester, NH 03101-1308. The office can be reached at 603-626-9500 (phone) or 833-448-1486 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609099431 directly on the NPPES registry website.

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