Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIC MOORE
Active Sole ProprietorDOMINIC MOORE is a Physician Assistant healthcare provider located in BURNSVILLE, Minnesota. NPI 1518542810 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BURNSVILLE, MN
Registration Details
- NPI Number
- 1518542810
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 17, 2021 (5.3942629002515 yrs)
- Last Updated
- Mar 2, 2026
- Licenses
-
14579 (MN)1208270 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1601 HIGHWAY 13 EBURNSVILLE, MN, 553376865Browse MN providers · Browse ZIP 55337
- Phone
- 9524059760
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Student (Health Education/Training)
Other Physician Assistant Providers in BURNSVILLE, MN
| Name | Credential | NPI |
|---|---|---|
| KELLY L DZIEDZIC | PA-C | 1568437879 |
| MR. SEAN A SMITH | OA | 1861461022 |
| JESSICA J. STANGENES | PA-C, RD, LD | 1740247824 |
| ELIZABETH N BOYUM | PA | 1750320487 |
| ROBYN L KUNKEL | PA-C | 1194767822 |
| AMANDA JO KINGZETT | PA-C | 1164459723 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.