Active NPI
Jeffrey S. Dombrowski, D.D.S.,M.D
- Oral and Maxillofacial Surgery (Dentist)
- Carrollton, TX
National Provider Identifier
1023088143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 28274
- Practice address
- 1813 Golden Trail Court
Suite 100
Carrollton, TX 75010 - Phone
- (972) 395-7630
- Fax
- (972) 395-7625
- NPI assigned
- Jan 23, 2006
- Last updated
- Jan 6, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 28274 | TX | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 7425 | CO | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 28274 | TX | Primary |
Addresses
Primary practice location
1813 Golden Trail Court
Suite 100
Carrollton, TX 75010
Mailing address
1813 Golden Trail Court
Suite 100
Carrollton,, TX 75010
Phone (972) 395-7630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02074250 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28274 | TX | MD | Dentist |
| 7425 | CO | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert J. Naples, DDS PA | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Michael Kunkel DDS Professional LLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery (Dentist)
- Round Rock, TX
- NPI 1215361654
-
dba Oral and Facial Surgery Center
- Oral and Maxillofacial Surgery (Dentist)
- Colorado Springs, CO
- NPI 1376989707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420502400000",
"number": "1023088143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1813 GOLDEN TRAIL COURT",
"address_2": "SUITE 100",
"city": "CARROLLTON,",
"state": "TX",
"postal_code": "75010",
"telephone_number": "972-395-7630",
"fax_number": "972-395-7625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1813 GOLDEN TRAIL COURT",
"address_2": "SUITE 100",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "75010",
"telephone_number": "972-395-7630",
"fax_number": "972-395-7625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMBROWSKI",
"first_name": "JEFFREY",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "D.D.S.,M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2015-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "28274",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CO",
"license": "7425",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "28274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02074250",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.