Emma Henry Brockman

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.027629 Issued in OH

Practice address

880 Eastgate North Dr Ste 101
Cincinnati, OH 45245-2051

Phone

(513) 978-5859

NPI assigned

Jun 24, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Emma Ryan Henry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nguyen Dentists of Eastgate, PC, Inc

  • Dentist
  • Cincinnati, OH
  • NPI 1437797792

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1720822828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 HUNTERSKNOLL LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304353",
            "telephone_number": "304-546-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 EASTGATE NORTH DR STE 101",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452452051",
            "telephone_number": "513-978-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "EMMA",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "HENRY",
            "middle_name": "RYAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Logan Brock
• Margaret Brock, PHD
• Sanfernetta Brock
• Tara Turner Brock, OTR
• Jena Raina Brockhoff, CNP
• Erica Nichole Brockman
• Jessica Brockman
• Alexis Brockmann
• David M Brodbeck, PA-C
• Matthew Brodbeck

• General Practice Dentistry in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.