Broadway Dental LLC
NPI 1356622435ActiveOrganization· Dentist, General Practice· Tempe, AZ
Dentist, General Practice in Tempe, Arizona, registered in NPPES in September 2011. The authorized official on file is Taroll A. Graziano, B.S., Manager.
Overview
| NPI | 1356622435 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 2, 2011 |
| Last updated in NPPES | Sep 2, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D7840 | AZ |
| Dentist | 122300000X | D7840 | AZ |
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 |
|---|
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