Individual provider Active NPI

Joseph Stephen Dombek, D.C.

  • Chiropractor
  • Beaverton, OR
National Provider Identifier
1083665756
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3328 Issued in OR
Practice address
4085 SW 109TH
Ste. 200
Beaverton, OR 97005-3017
Phone
(503) 644-4846
Fax
(503) 644-1293
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 273328 OR
Chiropractor 111N00000X 3328 OR Primary

Addresses

Primary practice location

4085 SW 109TH
Ste. 200
Beaverton, OR 97005-3017

Mailing address

4085 SW 109TH
Ste. 200
Beaverton, OR 97005-3017
Phone (503) 644-4846

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

State licenses

LicenseStateTypeSpecialty
273328ORMDChiropractor
3328ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Life Center - West Chiropractor PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1083665756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 SW 109TH",
            "address_2": "STE. 200",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053017",
            "telephone_number": "503-644-4846",
            "fax_number": "503-644-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 SW 109TH",
            "address_2": "STE. 200",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053017",
            "telephone_number": "503-644-4846",
            "fax_number": "503-644-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMBEK",
        "first_name": "JOSEPH",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273328",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.