Vivian Marie Broadway-Firmage, DDS
NPI 1114911617ActiveIndividual· Dentist, General Practice· Mill Valley, CA
Opted out of Medicare from June 2015 to June 2027. Dentist, General Practice (DDS) in Mill Valley, California, licensed in CA, with an NPI issued in September 2005. Part D covered 24 prescriptions written in 2024, 96% of them generic. 3shape Inc reported $33.73 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1114911617 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Sep 12, 2005 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 42033 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jun 15, 2015 – Jun 15, 2027 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 24 · 24 30-day fills |
|---|---|
| Patients | 21 |
| Total drug cost | $115.64 |
| Generic share | 96% of claims |
Industry payments (Open Payments)
- 2024$33.73 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| 3shape Inc | $33.73 | 1 |
What the 2024 payments were for
- Food and Beverage$33.73 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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