OrganizationActive
Brad Wisowaty DDS LLC
NPI 1609565910 · Dental Clinic/Center · Valparaiso, IN
Brad Wisowaty DDS LLC is a Dental Clinic/Center organization in Valparaiso, IN (NPI 1609565910).
Provider details
- NPI number
- 1609565910
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brad Wisowaty, Member(708) 945-5405
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1302 Vale Park Rd
Valparaiso, IN 46383-2722
Phone: (219) 462-0780
Street-level locationGet directions
Mailing address
1302 Vale Park Rd
Valparaiso, IN 46383-2722
Other names (DBA / former)
- Doing business as
- Modern Dentistry
Additional practice locations (1)
- 809 Wall St Ste aValparaiso, IN 46383-2571Phone: (219) 464-9681
Registry dates
- Enumerated
- 2023-05-03
- Last updated
- 2023-05-03
- Certified
- 2023-05-03
Frequently asked questions
- What is Brad Wisowaty DDS LLC's NPI number?
- Brad Wisowaty DDS LLC's National Provider Identifier (NPI) is 1609565910, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brad Wisowaty DDS LLC?
- Brad Wisowaty DDS LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Brad Wisowaty DDS LLC located?
- Brad Wisowaty DDS LLC's practice location on file with NPPES is 1302 Vale Park Rd, Valparaiso, IN 46383-2722.
- What is Brad Wisowaty DDS LLC's phone number?
- The practice phone number listed in the NPPES registry for Brad Wisowaty DDS LLC is (219) 462-0780.
- Who is the authorized official for Brad Wisowaty DDS LLC?
- The authorized official listed on Brad Wisowaty DDS LLC's NPPES record is Brad Wisowaty, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brad Wisowaty DDS LLC's NPI active?
- Yes — Brad Wisowaty DDS LLC's NPI (1609565910) is active in the NPPES registry as of the last update on 2023-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.