Scott A Broadbent, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00006455 Issued in WA

Practice address

19365 7TH Ave NE Ste 110
Poulsbo, WA 98370-7441

Phone

(360) 697-3331

Fax

(360) 697-4610

NPI assigned

Aug 14, 2012

Last updated

Aug 14, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Scott a. Broadbent, D.D.S, P.S.

  • General Practice Dentistry
  • Poulsbo, WA
  • NPI 1699873844
  NPD (past)

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1083961536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19365 7TH AVE NE STE 110",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707441",
            "telephone_number": "360-697-3331",
            "fax_number": "360-697-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19365 7TH AVE NE STE 110",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707441",
            "telephone_number": "360-697-3331",
            "fax_number": "360-697-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADBENT",
        "first_name": "SCOTT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Briggs
• Melanie Anne Lyon Brindle, CPM
• Mary Margaret Briner
• Ryan Brinton, DPT
• Heidi Garoutte Brislin, OTR/L
• Jeffrey Brodie, M.D.
• Michael D Brooks, D.M.D., M.S.
• Erin Allen Brower, MA,LMHC,CE
• Bernie Jay Brown, DO
• Charles R Brown, D.D.S

• General Practice Dentistry in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.