OrganizationActive
Broadway Dental Services
NPI 1215219084 · General Practice Dentistry · Gary, IN
Broadway Dental Services is a General Practice Dentistry organization in Gary, IN (NPI 1215219084).
Provider details
- NPI number
- 1215219084
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mukuka Kapilikisha, Owner(219) 671-3754
- License
- 12011216A (IN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
3195 Broadway
Gary, IN 46409-1006
Phone: (219) 671-3754
Street-level locationGet directions
Mailing address
1693 Stillwater Ave
Dyer, IN 46311-3088
Registry dates
- Enumerated
- 2011-09-16
- Last updated
- 2011-09-16
Frequently asked questions
- What is Broadway Dental Services's NPI number?
- Broadway Dental Services's National Provider Identifier (NPI) is 1215219084, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadway Dental Services?
- Broadway Dental Services is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Broadway Dental Services located?
- Broadway Dental Services's practice location on file with NPPES is 3195 Broadway, Gary, IN 46409-1006.
- What is Broadway Dental Services's phone number?
- The practice phone number listed in the NPPES registry for Broadway Dental Services is (219) 671-3754.
- Who is the authorized official for Broadway Dental Services?
- The authorized official listed on Broadway Dental Services's NPPES record is Mukuka Kapilikisha, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadway Dental Services's NPI active?
- Yes — Broadway Dental Services's NPI (1215219084) is active in the NPPES registry as of the last update on 2011-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.