DR. VIVIAN MARIE BROADWAY-FIRMAGE DDS
NPI 1114911617
Dentist - General Practice in Mill Valley, CA
About Dr. Vivian Marie Broadway-firmage Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. VIVIAN MARIE BROADWAY-FIRMAGE DDS (NPI 1114911617) is an individual general practice provider in Mill Valley, California, licensed in California (42033) and active in the NPI registry since September 2005. She has opted out of Medicare through June 15, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Vivian Marie Broadway-firmage Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 15, 2015 through June 15, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94941 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MILL VALLEY, CA 94941
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Vivian Broadway-firmage's NPI number?
The NPI number for Vivian Broadway-firmage is 1114911617. It was assigned to this individual provider in the NPPES registry on September 12, 2005.
Where is Vivian Broadway-firmage located?
Vivian Broadway-firmage practices at 141 Camino Alto Suite 2, Mill Valley, CA 94941. The listed phone number is (415) 388-6025.
What is Vivian Broadway-firmage's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Vivian Broadway-firmage enrolled in Medicare?
No. Vivian Broadway-firmage has opted out of Medicare through June 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Vivian Broadway-firmage was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
