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DERRICK M. BROADAWAY, D.D.S., PC
NPI 1922218684
Dentist - General Practice in Chesapeake, VA

Active since May 23, 2007
3325 TAYLOR RD, SUITE 111, CHESAPEAKE, VA 23321(757) 686-3033 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derrick M. Broadaway, D.d.s., Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRICK M. BROADAWAY, D.D.S., PC (NPI 1922218684) is a healthcare organization registered as a general practice in Chesapeake, Virginia and active in the NPI registry since May 2007. The organization lists Derrick M Broadaway, Practice Owner, as its authorized official.

NPPES Registry Identity

NPI1922218684
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDERRICK M. BROADAWAY, D.D.S., PC
Location Address3325 TAYLOR RD, SUITE 111Chesapeake, VA 23321-3300
Mailing Address3325 Taylor Rd, Suite 111Chesapeake, VA 23321-3300 · (757) 686-3033
Phone(757) 686-3033
Organization SubpartNo
Authorized OfficialDerrick M BroadawayPractice Owner · (757) 686-3033
Enumeration DateMay 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1922218684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
3325 TAYLOR RD, Chesapeake, VA 23321
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Other Identifiers 4

Other864302VA · United Conc Prov #
Medicaid005094VA
Other000000005259VA · Dental Benefits Prov#
Other000000005259VA · United Healthcare Prov#

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMEFA A KOKUKOKOR PHARM.D
Pharmacist
3325 TAYLOR RD, STE 118
CHESAPEAKE, VA 23321
Chesapeake City (757) 484-1095
MR. IGNATIUS L COMBRINK
Pharmacist
3325 TAYLOR RD
CHESAPEAKE, VA 23321
Chesapeake City (757) 484-1095
LAUREN OBENAUF PHARM.D.
Pharmacist
3325 TAYLOR RD, STE 118
CHESAPEAKE, VA 23321
Chesapeake City (757) 484-1095

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 Derrick M. Broadaway, D.D.S., PC's NPI number?

The NPI number for Derrick M. Broadaway, D.D.S., PC is 1922218684. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Derrick M. Broadaway, D.D.S., PC located?

Derrick M. Broadaway, D.D.S., PC is located at 3325 Taylor Rd Suite 111, Chesapeake, VA 23321. The listed phone number is (757) 686-3033.

What is Derrick M. Broadaway, D.D.S., PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Derrick M. Broadaway, D.D.S., PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.