DR. TARA KIMBERLY BRODERICK DMD
NPI 1467504472
Dentist - General Practice in Hackensack, NJ

NPI Status: Active since January 18, 2007

Contact Information

645 MAIN ST
HACKENSACK, NJ
ZIP 07601
Phone: (201) 488-8300
Fax: (201) 488-5953

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  • Individual
  • Female
  • Dentist
  • General Practice

About TARA BRODERICK

This page provides the complete NPI Profile along with additional information for Tara Broderick, a provider established in Hackensack, New Jersey with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1467504472 assigned on January 2007. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1467504472
Provider Name
DR. TARA KIMBERLY BRODERICK DMD
Other Name
MRS. TARA KIMBERLY BRODERICK
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
645 MAIN ST HACKENSACK, NJ 07601
Location Phone
(201) 488-8300
Location Fax
(201) 488-5953
Mailing Address
645 MAIN ST HACKENSACK, NJ 07601
Mailing Phone
(201) 488-8300
Mailing Fax
(201) 488-5953
Is Sole Proprietor?
No
Enumeration Date
01-18-2007
Last Update Date
07-08-2007
Code Navigator

A dentist like Tara Broderick 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.

Location Map

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
NJ
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467504472
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241271008414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 0 + 0 + 8 + 4 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1467504472 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285752956DR. MARK A RAGEN DDS
Individual
Dentist (General Practice)645 MAIN ST
HACKENSACK, NJ 07601
(201) 488-8300
1104120153 BEN LIU D.D.S
Individual
Dentist (Pediatric Dentistry)645 MAIN ST
HACKENSACK, NJ 07601
(201) 488-8300
1306293469DR. JESSICA MICHELLE LISTWA DMD
Individual
Dentist (Pediatric Dentistry)645 MAIN ST
HACKENSACK, NJ 07601
(201) 488-5953
1952043044 DAVID ISSAM SABAT
Individual
Dentist645 MAIN ST
HACKENSACK, NJ 07601
(201) 347-5001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467504472, enumerated in the NPI registry as an "individual" on January 18, 2007

The provider is located at 645 Main St Hackensack, Nj 07601 and the phone number is (201) 488-8300

The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice

This NPI record was last updated on January 18, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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