Individual provider Active NPI

Kenneth Dombrowski

  • Health & Wellness Coach
  • Green Bay, WI
National Provider Identifier
1407786197
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
2701 Larsen Rd # 115
Green Bay, WI 54303-4863
Phone
(920) 445-4322
NPI assigned
May 22, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X Primary

Addresses

Primary practice location

2701 Larsen Rd # 115
Green Bay, WI 54303-4863

Mailing address

2701 Larsen Rd # 115
Green Bay, WI 54303-4863
Phone (920) 445-4322

Other practice location 1

11512 N Port Washington Rd Ste 205
Mequon, WI 53092-3481
Phone (262) 307-2707

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1407786197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 LARSEN RD # 115",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034863",
            "telephone_number": "920-445-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 LARSEN RD # 115",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034863",
            "telephone_number": "920-445-4322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11512 N Port Washington Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530923481",
            "country_code": "US",
            "telephone_number": "262-307-2707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMBROWSKI",
        "first_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.