Active NPI
Natanya Broadway, RDH
- Dental Hygienist
- Columbia, MD
National Provider Identifier
1679108484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 8108
- Practice address
- 7304 Rocky Creek Dr
Columbia, MD 21046-1202 - Phone
- (667) 200-5171
- NPI assigned
- Mar 12, 2020
- Last updated
- Jul 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 8108 | MD | Primary |
Addresses
Primary practice location
7304 Rocky Creek Dr
Columbia, MD 21046-1202
Mailing address
7304 Rocky Creek Dr
Columbia, MD 21046-1202
Phone (443) 221-5298
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 |
|---|---|---|---|
| 8108 | MD | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Dental Care, LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1583971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657411200000",
"number": "1679108484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7304 ROCKY CREEK DR",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210461202",
"telephone_number": "443-221-5298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7304 ROCKY CREEK DR",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210461202",
"telephone_number": "667-200-5171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROADWAY",
"first_name": "NATANYA",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-12",
"last_updated": "2022-07-10",
"certification_date": "2022-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MD",
"license": "8108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.