Broadway Smiles

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

50382 Issued in CA

Legal business name

BROADWAY SMILES

Practice address

126 W El Norte Pkwy
Escondido, CA 92026-2502

Phone

(760) 480-5622

Fax

(760) 480-5623

NPI assigned

Feb 19, 2016

Organization subpart

Yes

Parent organization

NC FAMILY DENTALAs reported in NPPES

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

Authorized official

Name

Marlene Thompson, DDS

Title

Owner

Phone

(760) 480-5622

Specialties & licenses 1

Addresses

Other names 1

• Broadway Smiles Doing business as

Tax ID family

Marlene Thompson DDS Inc2 organizations share this tax ID, including this one

Part of

Marlene Thompson DDS Inc

Other organizations with this tax ID 1

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

• Marlene Thompson DDS Inc

  • General Practice Dentistry
  • Encinitas, CA
  • NPI 1144681834
  NPD tax ID

Locations

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1427417328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 W EL NORTE PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920262502",
            "telephone_number": "760-480-5622",
            "fax_number": "760-480-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W EL NORTE PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920262502",
            "telephone_number": "760-480-5622",
            "fax_number": "760-480-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY SMILES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NC FAMILY DENTAL",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-480-5622",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "50382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brightstar Care of Escondido and San Marcos
• Brightstar Escondido
• Ulysses Briones
• Liliana Ione Briscoe
• Lupita Brizuela, OVERNIGHT MONITOR II
• Daniella Noel Brodsky
• Melody W Brody, DPT
• Jennifer Brogan, PPS
• Nicholle Daniel Bromley, M.D
• Steffanie Joy Brooks-Alayza, IMFT

• Preferred Provider Organization in Escondido, CA
• Providers in Escondido, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.