Active NPI
Nathan Dombrowski, DDS, MD
- Oral and Maxillofacial Surgery (Dentist)
- Rockwall, TX
National Provider Identifier
1306342746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 40296
- Practice address
- 960 W Ralph Hall Pkwy
Rockwall, TX 75032-6660 - Phone
- (972) 786-1319
- NPI assigned
- Apr 4, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10127 | KY | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 40296 | TX | Primary |
Addresses
Primary practice location
960 W Ralph Hall Pkwy
Rockwall, TX 75032-6660
Mailing address
1531 Sorrento Way
Fate, TX 75087-2114
Phone (972) 786-1319
Other practice location 1
501 S Preston St
Louisville, KY 40202-1701
Phone (502) 852-7660
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ncdomb01@louisville.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 17, 2026 through Feb 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40296 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1306342746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1531 SORRENTO WAY",
"city": "FATE",
"state": "TX",
"postal_code": "750872114",
"telephone_number": "972-786-1319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 W RALPH HALL PKWY",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750326660",
"telephone_number": "972-786-1319"
}
],
"practiceLocations": [
{
"address_1": "501 S Preston St",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402021701",
"country_code": "US",
"telephone_number": "502-852-7660",
"fax_number": "502-852-8551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOMBROWSKI",
"first_name": "NATHAN",
"credential": "DDS, MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-04",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "10127",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "40296",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ncdomb01@louisville.edu",
"affiliation": "N",
"address_1": "550 S Jackson St",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402021622",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.