Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841187499 Individual Practitioner Male Practitioner

Nicolas Austin Broadway

Dentist • Mansfield, TX

Professional Overview & Biography Verified Profile Summary

Nicolas Broadway is a registered healthcare professional specializing in Dentist in Mansfield, TX. Practice services are available at 1660 E BROAD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1660 E Broad St

Mansfield, TX 760637381

Telephone 6825037408

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mansfield, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
35 Specialists

Practicing in Mansfield, TX (6851 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-07
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 41645

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 07, 2025

NPI status registered as active in NPPES database

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Updated Practice Location July 07, 2025

Registered at 1660 E BROAD ST, MANSFIELD, TX 760637381 (Tel: 6825037408)

📍
Updated Business Mailing Address July 07, 2025

Registered at 1613 WINDCASTLE DR, MANSFIELD, TX 760637928

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Provider Name / Credentials Updated July 07, 2025

Recorded as NICOLAS BROADWAY

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 18, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841187499
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2025
Last Update: July 07, 2025
Sole Proprietor: Yes

Mailing Address

1613 Windcastle Dr

Mansfield, TX 760637928

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.