Individual provider Active NPI

Ashley Dailey Broderick, RDH

  • Dental Hygienist
  • Dunkirk, MD
National Provider Identifier
1255939757
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
7598 Issued in MD
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
7598MDMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron I. Linchuck, D.D.S.,P.a. Past Accepting new patients
Gentle Family Dentistry, LLC PastSince Oct 19, 2020 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.

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

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.

Verify at the official NPI Registry.