Individual provider Active NPI

Nicola Henry-Tomczuk, DDS

  • General Practice Dentistry
  • Brandywine, MD
National Provider Identifier
1073801932
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14907 Issued in MD
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

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100915000MedicaidMD

Other names 1

  • Nicola Henry Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150924000243 DC Practitioner - Oral Surgery 2860709854 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Baden Medical Service Incorporated CurrentSince Aug 9, 2015 Accepting new patients
Greater Baden Medical Service Incorporated CurrentSince Aug 9, 2015 Accepting new patients
Greater Baden Medical Service Incorporated CurrentSince May 28, 2023 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.

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

Verify at the official NPI Registry.