OrganizationActive
Broadway Dental LLC
NPI 1790816817 · General Practice Dentistry · Denison, IA
Broadway Dental LLC is a General Practice Dentistry organization in Denison, IA (NPI 1790816817).
Provider details
- NPI number
- 1790816817
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kristi Ouderkirk-Bock, Owner(712) 263-5615
- License
- 07912 (IA)
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
1415 Broadway
Denison, IA 51442-2052
Phone: (712) 263-5615
Fax: (712) 263-8124
Street-level locationGet directions
Mailing address
1415 Broadway
Denison, IA 51442-2052
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2025-04-04
- Certified
- 2025-04-04
Frequently asked questions
- What is Broadway Dental LLC's NPI number?
- Broadway Dental LLC's National Provider Identifier (NPI) is 1790816817, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadway Dental LLC?
- Broadway Dental LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Broadway Dental LLC located?
- Broadway Dental LLC's practice location on file with NPPES is 1415 Broadway, Denison, IA 51442-2052.
- What is Broadway Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Broadway Dental LLC is (712) 263-5615.
- Who is the authorized official for Broadway Dental LLC?
- The authorized official listed on Broadway Dental LLC's NPPES record is Kristi Ouderkirk-Bock, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadway Dental LLC's NPI active?
- Yes — Broadway Dental LLC's NPI (1790816817) is active in the NPPES registry as of the last update on 2025-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.