OrganizationActive
Northwest Pediatric Dental LLC
NPI 1982433819 · Pediatric Dentistry · St. John, IN
Northwest Pediatric Dental LLC is a Pediatric Dentistry organization in St. John, IN (NPI 1982433819).
Provider details
- NPI number
- 1982433819
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- James Mitsos, Owner(219) 440-1710
Specialties & taxonomies
Dental Providers
- General Practice Dentistry1223G0001X
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
8217 Wicker Ave
St. John, IN 46373
Phone: (219) 440-1710
Street-level locationGet directions
Mailing address
8217 Wicker Ave
St. John, IN 46373
Other names (DBA / former)
- Doing business as
- Southwest Pediatric Dental
Registry dates
- Enumerated
- 2024-07-30
- Last updated
- 2024-10-03
- Certified
- 2024-10-03
Frequently asked questions
- What is Northwest Pediatric Dental LLC's NPI number?
- Northwest Pediatric Dental LLC's National Provider Identifier (NPI) is 1982433819, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northwest Pediatric Dental LLC?
- Northwest Pediatric Dental LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Northwest Pediatric Dental LLC located?
- Northwest Pediatric Dental LLC's practice location on file with NPPES is 8217 Wicker Ave, St. John, IN 46373.
- What is Northwest Pediatric Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Northwest Pediatric Dental LLC is (219) 440-1710.
- Who is the authorized official for Northwest Pediatric Dental LLC?
- The authorized official listed on Northwest Pediatric Dental LLC's NPPES record is James Mitsos, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northwest Pediatric Dental LLC's NPI active?
- Yes — Northwest Pediatric Dental LLC's NPI (1982433819) is active in the NPPES registry as of the last update on 2024-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.