JENNIFER MIRANDA DOMAGALSKI DMD - NPI 1972819357

Q: What is Jennifer Domagalski's NPI number?

The NPI number for Jennifer Domagalski is 1972819357. It was assigned to this individual provider in the NPPES registry on August 24, 2010.

Q: What is Jennifer Domagalski's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

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About Jennifer Miranda Domagalski Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER MIRANDA DOMAGALSKI DMD (NPI 1972819357) is an individual dentist in Kennewick, Washington, licensed in Washington (DE60689948) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Barrow.

NPPES Registry Identity

NPI1972819357

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameJENNIFER MIRANDA DOMAGALSKICredential: DMD

Location Address2611 S QUILLAN PL STE 110Kennewick, WA 99338-1899

Mailing AddressPo Box 190Toppenish, WA 98948-0190 · (509) 865-2395

Phone(509) 585-5437

Sole ProprietorNo

Enumeration DateAugust 24, 2010

Last NPPES UpdateMay 1, 2026

NPPES CertifiedMay 1, 2026

✔ NPI 1972819357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE60689948

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2611 S QUILLAN PL STE 110, Kennewick, WA 99338

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Secondary Practice Location 1

Location 11296 Agvik StBarrow, AK 99723 · Phone (907) 852-9255

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Miranda Domagalski Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99338 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JIN SONG D.D.S.

Dentist