Elise Dornbier, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

Practice address

12499 University Ave Ste 200
Clive, IA 50325-8288

Phone

(515) 418-9960

Fax

(515) 418-9107

NPI assigned

May 24, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Elise Wagener Former name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Qualified Audiologist

Education

University of Arizona College of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iowa Ear CenterGroup PAC ID 2264582493, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Iowa Ear Center

  • Specialist
  • Clive, IA
  • NPI 1780818138

  IA

  Medicare reassignment Care Compare group
• Iowa Ear Technology

  • Audiologist
  • Clive, IA
  • NPI 1841778222
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1053978056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12499 UNIVERSITY AVE STE 200",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258288",
            "telephone_number": "515-418-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12499 UNIVERSITY AVE STE 200",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258288",
            "telephone_number": "515-418-9960",
            "fax_number": "515-418-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORNBIER",
        "first_name": "ELISE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "WAGENER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emmaleigh Katelynn Aviana Dieguez, RBT
• Meredith Dierks
• Digestive and Liver Disease Consultants, P.C.
• Ross G Doehrmann, DO
• Ryan Donahue, DC
• Ryan Dornbier
• Douglas R. Pick PLC
• Gryphan Anthony Alexander Douglas, MSW, LISW
• Molly Kinser Douglas, LMHC
• Dragonfly Counseling Associates, PLLC

• All providers in Clive, IA
• Audiologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.