Organization Active NPI

Helene C. Dombrowski, M.D., P.C.

  • Dermatology Physician
  • Dearborn, MI
National Provider Identifier
1124293998
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
HD406059 Issued in MI
Legal business name
HELENE C. DOMBROWSKI, M.D., P.C.
Practice address
23100 Cherry Hill St Ste 10
Dearborn, MI 48124-1449
Phone
(313) 563-6655
Fax
(313) 563-5517
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. Helene C Dombrowski, M.D.NPI 1659351948
Title
President
Phone
(313) 563-6655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X HD406059 MI Primary

Addresses

Primary practice location

23100 Cherry Hill St Ste 10
Dearborn, MI 48124-1449

Mailing address

23100 Cherry Hill St Ste 10
Dearborn, MI 48124-1449
Phone (313) 563-6655

Other identifiers 1

IdentifierTypeStateIssuer
0708251301OtherMIBCBSM

National Provider Directory

National Provider Directory

Locations

23100 Cherry Hill St
Ste 10
Dearborn, MI 48124
Phone (313) 563-6655

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1124293998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23100 CHERRY HILL ST STE 10",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241449",
            "telephone_number": "313-563-6655",
            "fax_number": "313-563-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23100 CHERRY HILL ST STE 10",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241449",
            "telephone_number": "313-563-6655",
            "fax_number": "313-563-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELENE C. DOMBROWSKI, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "DOMBROWSKI",
        "authorized_official_first_name": "HELENE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-563-6655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "HD406059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0708251301",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.