Daniel Joseph Brockway, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

10379 Issued in SC

Practice address

8476 Simmond St
U.S. Army Dental Activity
Fort Meade, MD 20755-7083

Phone

(301) 677-5922

NPI assigned

Aug 1, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1851723886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7556 HONEYCUTT RD",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "28307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8476 SIMMOND ST",
            "address_2": "U.S. ARMY DENTAL ACTIVITY",
            "city": "FORT MEADE",
            "state": "MD",
            "postal_code": "207557083",
            "telephone_number": "301-677-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKWAY",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-01",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "10379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendon Bluestein, PHD
• Ruth Djarbeng Boadi, LCSW-C
• Therese Michelle Boucher, LCSW-C
• Patricia F Bouton, LCSW
• Hortense Redd Britt, RN
• Martha Bishop Brown, RN
• Victoria Ann Bugtong, AUD, CSP/A, CCC-A
• Gary Lamont Burks, LPN
• Anne Enanga Burnley, MD
• Yvette C Burrowes, M.D.

• Periodontics in Fort Meade, MD
• Providers in Fort Meade, MD by specialty
• Periodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.