OrganizationActive
Purdue University
NPI 1053512004 · Dentist · Fort Wayne, IN
Purdue University is a Dentist organization in Fort Wayne, IN (NPI 1053512004).
Provider details
- NPI number
- 1053512004
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Purdue University
- Organization subpart
- Yes
- Authorized official
- Joan Vaughan, Director Hipaa Privacy Compliance(765) 496-1927
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2101 East Coliseum Boulevard
Neff Hall Room 109
Fort Wayne, IN 46805-1499
Phone: (260) 481-6575
Fax: (260) 481-4162
Street-level locationGet directions
Mailing address
601 Stadium Mall Drive
West Lafayette, IN 47907-2052
Other names (DBA / former)
- Doing business as
- Ipfw Dental Hygiene Clinic
Registry dates
- Enumerated
- 2007-05-29
- Last updated
- 2022-08-02
- Certified
- 2022-08-02
Frequently asked questions
- What is Purdue University's NPI number?
- Purdue University's National Provider Identifier (NPI) is 1053512004, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Purdue University?
- Purdue University is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Purdue University located?
- Purdue University's practice location on file with NPPES is 2101 East Coliseum Boulevard, Fort Wayne, IN 46805-1499.
- What is Purdue University's phone number?
- The practice phone number listed in the NPPES registry for Purdue University is (260) 481-6575.
- Who is the authorized official for Purdue University?
- The authorized official listed on Purdue University's NPPES record is Joan Vaughan, Director Hipaa Privacy Compliance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Purdue University's NPI active?
- Yes — Purdue University's NPI (1053512004) is active in the NPPES registry as of the last update on 2022-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.