Chelsea Brockway

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN20729 Issued in FL

Practice address

3611 1St St E Ste 530
Bradenton, FL 34208-4423

Phone

(941) 746-7460

NPI assigned

Aug 21, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 20, 2018 through Nov 20, 2026

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 and National Provider Directory roles.

• Chelsea Brockway DDS Ms PLLC

  • Dental Clinic/Center
  • Clearwater, FL
  • NPI 1366264772
  NPD Authorized official
• Alan D. Shoopak D.M.D. ,P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bradenton, FL
  • NPI 1942345160
  NPD (past)

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1609200054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 1ST ST E STE 530",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342084423",
            "telephone_number": "941-746-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 1ST ST E STE 530",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342084423",
            "telephone_number": "941-746-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKWAY",
        "first_name": "CHELSEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DRP1183",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN20729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget M Ratner DNP Arnp FNP-C LLC
• Storm Briggs, DDS
• Sydney Briner, OTD, OTR/L
• Elizabeth Brito, PHARMD
• Jonica Rosie Britus, DPT
• Leah Brod
• Randall Ira Brodsky, DO
• Diana Bronstein, DDS
• Brookdale Senior Living Communities, Inc.
• Brooks Management

• Orthodontics and Dentofacial Orthopedics Dentistry in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.