Active NPI
Ashley Dailey Broderick, RDH
- Dental Hygienist
- Dunkirk, MD
National Provider Identifier
1255939757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 7598
- Practice address
- 3150 W Ward Rd Ste 304
Dunkirk, MD 20754-3057 - Phone
- (410) 257-2424
- NPI assigned
- Oct 15, 2020
- Last updated
- Oct 15, 2020
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 7598 | MD | Primary |
Addresses
Primary practice location
3150 W Ward Rd Ste 304
Dunkirk, MD 20754-3057
Mailing address
6955 Wood Glen Dr
Hughesville, MD 20637-2716
Phone (240) 427-8122
Other practice location 1
6201 Greenbelt Rd Ste U5
Berwyn Heights, MD 20740-2361
Phone (301) 441-2550
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7598 | MD | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aaron I. Linchuck, D.D.S.,P.a. | Past | Accepting new patients | |
| Gentle Family Dentistry, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Berwyn Heights, MD
- NPI 1548559255
-
- General Practice Dentistry
- Dunkirk, MD
- NPI 1841438322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1255939757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6955 WOOD GLEN DR",
"city": "HUGHESVILLE",
"state": "MD",
"postal_code": "206372716",
"telephone_number": "240-427-8122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 W WARD RD STE 304",
"city": "DUNKIRK",
"state": "MD",
"postal_code": "207543057",
"telephone_number": "410-257-2424"
}
],
"practiceLocations": [
{
"address_1": "6201 Greenbelt Rd Ste U5",
"address_purpose": "LOCATION",
"city": "Berwyn Heights",
"state": "MD",
"postal_code": "207402361",
"country_code": "US",
"telephone_number": "301-441-2550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRODERICK",
"first_name": "ASHLEY",
"middle_name": "DAILEY",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-15",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MD",
"license": "7598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunkirk, MD
- Octavie Bih Ambe
- Tod Owen Boehm, D.C., C.C.S.P.
- Bertina Hansen Boyd, L.C.S.W.-C.
- Brightseat Health Baltimore
- Sara Ann Briones, PHARMD
- Calvert Chiropractic
- Calvert Family and Cosmetic Dentistry
- Calvert Physical Therapy and Sports Fitness Center
- Calverthealth Medical Center, Inc. (CalvertHealth Urgent Care Dunkirk)
- Calverthealth Medical Center, Inc. (CalvertHealth Outpatient Rehabilitation Dunkirk)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.