Active NPI
Nicola Henry-Tomczuk, DDS
- General Practice Dentistry
- Brandywine, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14907
- Practice address
- 7450 Albert Rd FL 1
Brandywine, MD 20613-3035 - Phone
- (301) 836-9645
- Fax
- (301) 597-9034
- NPI assigned
- Jul 13, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14907 | MD | Primary |
Addresses
Primary practice location
7450 Albert Rd FL 1
Brandywine, MD 20613-3035
Mailing address
7450 Albert Rd FL 3
Brandywine, MD 20613-3035
Phone (301) 836-9645
Other practice location 1
1627 Kenilworth Ave NE
Washington, DC 20019-2010
Phone (202) 803-2340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100915000 | Medicaid | MD |
Other names 1
- Nicola Henry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Baden Medical Service Incorporated | Current | Accepting new patients | |
| Greater Baden Medical Service Incorporated | Current | Accepting new patients | |
| Greater Baden Medical Service Incorporated | Current | Accepting new patients |
Locations
7450 Albert Rd
Fl 1
Brandywine, MD 20613
Phone (301) 836-9645
7450 Albert Rd
Ste 3
Brandywine, MD 20613
7450 Albert Rd
Fl 3
Brandywine, MD 20613
Phone (301) 599-0460
1458 Addison Rd S
Capitol Heights, MD 20743
Phone (301) 324-1500
6196 Oxon Hill Rd
Ste 540
Oxon Hill, MD 20745
Phone (301) 686-1665
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Brandywine, MD
- NPI 1912927344
DC
-
- Federally Qualified Health Center (FQHC)
- Lexington Park, MD
- NPI 1487469243
-
- Dental Clinic/Center
- Brandywine, MD
- NPI 1720297278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1073801932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7450 ALBERT RD FL 3",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206133035",
"telephone_number": "301-836-9645",
"fax_number": "301-597-9034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7450 ALBERT RD FL 1",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206133035",
"telephone_number": "301-836-9645",
"fax_number": "301-597-9034"
}
],
"practiceLocations": [
{
"address_1": "1627 Kenilworth Ave NE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200192010",
"country_code": "US",
"telephone_number": "202-803-2340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENRY-TOMCZUK",
"first_name": "NICOLA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-13",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "14907",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100915000",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLA",
"last_name": "HENRY",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brandywine, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.