Active NPI
Stanley Allen Dombroski, DC
- Chiropractor
- Zeeland, MI
National Provider Identifier
1225009863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- SD008737
- Practice address
- 300 S State St
Suite 4
Zeeland, MI 49464-1676 - Phone
- (616) 772-9255
- Fax
- (616) 772-9258
- NPI assigned
- Jan 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | SD008737 | MI | Primary |
Addresses
Primary practice location
300 S State St
Suite 4
Zeeland, MI 49464-1676
Mailing address
300 S State St
Suite 4
Zeeland, MI 49464-1676
Phone (616) 772-9255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950G010840 | Other | MI | BLUE CROSS BLUE SHIELD MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
300 S State St
Suite 4
Zeeland, MI 49464-1677
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SD008737 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Health Chiropractic Center | Chiropractor | Current | Accepting new patients |
Locations
300 S State St
Ste 4
Zeeland, MI 49464
Phone (616) 748-9700
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.
-
- Chiropractor
- Zeeland, MI
- NPI 1942336987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1225009863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S STATE ST",
"address_2": "SUITE 4",
"city": "ZEELAND",
"state": "MI",
"postal_code": "494641676",
"telephone_number": "616-772-9255",
"fax_number": "616-772-9258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S STATE ST",
"address_2": "SUITE 4",
"city": "ZEELAND",
"state": "MI",
"postal_code": "494641676",
"telephone_number": "616-772-9255",
"fax_number": "616-772-9258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMBROSKI",
"first_name": "STANLEY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-31",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "SD008737",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MI",
"identifier": "950G010840",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zeeland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.