Chelsea Brockway DDS Ms PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHELSEA BROCKWAY DDS MS PLLC

Practice address

1527 S Highland Ave
Clearwater, FL 33756-2374

Phone

(727) 250-0522

NPI assigned

Oct 28, 2024

Organization subpart

No

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

Authorized official

Name

Chelsea BrockwayNPI 1609200054

Title

Owner

Phone

(727) 417-3958

Specialties & licenses 1

Addresses

Tax ID family

Chelsea Brockway DDS Ms PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chelsea Brockway DDS Ms PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clearwater, FL
  • NPI 1144149865
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chelsea Brockway

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bradenton, FL
  • NPI 1609200054
  NPD Authorized official

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1366264772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10265 GANDY BLVD N APT 1615",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022335",
            "telephone_number": "727-417-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 S HIGHLAND AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337562374",
            "telephone_number": "727-250-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEA BROCKWAY DDS MS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "BROCKWAY",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-417-3958"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Gertrude Chase, P.T.A.
• Chateau Blanc, Inc
• Nicole Cheatham
• Melanie Veronica Cheing, M.D.
• Chelsea Brockway DDS Ms PLLC
• Edward Chen, MD
• Yongjian Chen, AP
• David Cheong, MD
• Daniel Minchev Chernaev, M.D.
• Leah Chernin, D.O.

• Dental Clinic/Center in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.