Jennifer J Dombek, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HT-1011 Issued in SC

Practice address

321 Bells Hwy
Walterboro, SC 29488-2703

Phone

(843) 782-3866

Fax

(843) 782-3866

NPI assigned

Jul 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer J Short Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Me Pivot Holdings, LLC

  dba Miracle Ear

  • Hearing Instrument Specialist
  • Walterboro, SC
  • NPI 1588328066
  NPD (past)
• Me Pivot Holdings LLC

  dba Miracle-Ear Center

  • Hearing Instrument Specialist
  • Augusta, GA
  • NPI 1730654443
  NPD (past)

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1245849546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 BELLS HWY",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882706",
            "telephone_number": "843-782-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 BELLS HWY",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882703",
            "telephone_number": "843-782-3866",
            "fax_number": "843-782-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMBEK",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247000000X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information",
            "state": "SC",
            "license": "HT-1011",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "SC",
            "license": "HT-1011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.dombek@amplifon.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "668 Bells Hwy",
            "city": "Walterboro",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294882706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.dombek@amplifon.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "321 Bells Hwy",
            "city": "Walterboro",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294882703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SHORT",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Sauls Delong, RN
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• Bergdorf Dixon
• Averi Drawdy
• Yvone Drayton, B.S.
• Bramlett Easterlin Drew
• Driftwood Emergency Physicians, LLC
• Dubin Optometric Associates, P.C. (Walterboro Eyecare Center)

• Hearing Instrument Specialist in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Hearing Instrument Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.