DERRICK M. BROADAWAY, D.D.S., PC
NPI 1316156102
Dentist - General Practice in Virginia Beach, VA

NPI Status: Active since May 21, 2007

Contact Information

3809 PRINCESS ANNE RD
SUITE 111
VIRGINIA BEACH, VA
ZIP 23456
Phone: (757) 471-6672

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  • Organization
  • Dentist
  • General Practice

About DERRICK M. BROADAWAY, D.D.S., PC

This page provides the complete NPI Profile along with additional information for Derrick M. Broadaway, D.d.s., Pc, a provider established in Virginia Beach, Virginia operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1316156102 assigned on May 2007. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Joyce S Davis Cdpma (Office Manager)

NPI
1316156102
Provider Name
DERRICK M. BROADAWAY, D.D.S., PC
Entity Type
Organization
Location Address
3809 PRINCESS ANNE RD SUITE 111 VIRGINIA BEACH, VA 23456
Location Phone
(757) 471-6672
Mailing Address
3809 PRINCESS ANNE RD SUITE 111 VIRGINIA BEACH, VA 23456
Mailing Phone
(757) 471-6672
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-21-2007
Last Update Date
04-07-2008
Code Navigator

A dentist like Derrick M. Broadaway, D.d.s., Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License State
VA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. JOYCE S DAVIS CDPMA

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(757) 471-6672

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000000005259OTHER (01)VADENTAL BENEFITS PROVIDER#
219275OTHER (01)VABLUE CROSS PROVIDER #
000000005259OTHER (01)VAUNITED HEALTHCARE PROVIDE
619881OTHER (01)VAUNITED CONCORDIA PROVIDER
106546MEDICAID (05)VA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1316156102, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
1
Doubled → 2
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 2 + 6 + 2 + 5 + 1 + 2 + 1 + 0 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1316156102.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Chiropractor
3809 PRINCESS ANNE RD
VIRGINIA BEACH, VA 23456
Durable Medical Equipment & Medical Supplies
3809 PRINCESS ANNE RD, SUITE 108
VIRGINIA BEACH, VA 23456
Dentist
3809 PRINCESS ANNE RD, SUITE 111
VIRGINIA BEACH, VA 23456
Chiropractor
3809 PRINCESS ANNE RD
VIRGINIA BEACH, VA 23456
Chiropractor
3809 PRINCESS ANNE RD
VIRGINIA BEACH, VA 23456
Durable Medical Equipment & Medical Supplies
3809 PRINCESS ANNE RD, SUITE 108
VIRGINIA BEACH, VA 23456

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316156102, enumerated as an "organization" on May 21, 2007.

The provider is located at 3809 PRINCESS ANNE RD SUITE 111 VIRGINIA BEACH, VA 23456 and the phone number is (757) 471-6672.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.