OrganizationActive
Kids & Adult Dental Southport Inc
NPI 1689553018 · Dentist · Southport, IN
Kids & Adult Dental Southport Inc is a Dentist organization in Southport, IN (NPI 1689553018).
Provider details
- NPI number
- 1689553018
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Brandi Bibb, Practice Administrator(317) 991-4725
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
7001 Madison Ave
Southport, IN 46227-5203
Phone: (317) 991-4725
Fax: (317) 986-4097
Street-level locationGet directions
Mailing address
7001 Madison Ave
Southport, IN 46227-5203
Other names (DBA / former)
- Doing business as
- Kids & Adult Dental
Registry dates
- Enumerated
- 2025-08-29
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Frequently asked questions
- What is Kids & Adult Dental Southport Inc's NPI number?
- Kids & Adult Dental Southport Inc's National Provider Identifier (NPI) is 1689553018, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kids & Adult Dental Southport Inc?
- Kids & Adult Dental Southport Inc is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Kids & Adult Dental Southport Inc located?
- Kids & Adult Dental Southport Inc's practice location on file with NPPES is 7001 Madison Ave, Southport, IN 46227-5203.
- What is Kids & Adult Dental Southport Inc's phone number?
- The practice phone number listed in the NPPES registry for Kids & Adult Dental Southport Inc is (317) 991-4725.
- Who is the authorized official for Kids & Adult Dental Southport Inc?
- The authorized official listed on Kids & Adult Dental Southport Inc's NPPES record is Brandi Bibb, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kids & Adult Dental Southport Inc's NPI active?
- Yes — Kids & Adult Dental Southport Inc's NPI (1689553018) is active in the NPPES registry as of the last update on 2025-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.