INDIANA UNIVERSITY NORTHWEST (NPI# 1912067349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912067349 |
| Entity Type | Organization |
| Organization Name | INDIANA UNIVERSITY NORTHWEST |
| Practice Address |
3400 Broadway Gary IN 46408-1101 |
| Practice Telephone | 2199806772 |
| Mailing Telephone | 2199806772 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2008-06-27 |
| Authorized Official Name | MRS. CINDY ZAK (CLINIC MANAGER) |
| Authorized Official Telephone | 2199806772 |
| Authorized Official Credential | CDA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
0========= | IN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200082120 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INDIANA UNIVERSITY NORTHWEST | 3400 Broadway, Gary, IN 46408-1101 |
| Indiana Business Entities | INDIANA UNIVERSITY NORTHWEST POLICE DEPARTMENT INC. | 3400 Broadway, Gary, IN 46408 |
| Street Address |
3400 BROADWAY |
| City | GARY |
| State | IN |
| Zip Code | 46408-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669742565 | Stephanie Lynn Smith | Specialist/Technologist | 3400 Broadway, Savannah Center 217, Gary, IN 46408-1101 | 2012-01-09 |
| 1437427507 | Mary Ann O Post | Genetic Counselor, MS | 3400 Broadway, Indiana University Northwest, Gary, IN 46408-1197 | 2011-12-05 |
| 1235399726 | Northwest Center Medical Services Corp | Medical Genetics | 3400 Broadway, Gary, IN 46408-1101 | 2008-06-10 |
| 1942488754 | Northwest Center Medical Services Corp. | Medical Genetics | 3400 Broadway, Gary, IN 46408-1101 | 2008-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497275788 | Brynn T Shelton | Home Health Aide | 4138 Ruthledge St, Gary, IN 46408 | 2017-06-27 |
| 1306243027 | Around The Clock Transportation | Non-emergency Medical Transport (VAN) | 3979 Cleveland St, Gary, IN 46408 | 2014-11-24 |
| 1710900956 | Home Health Services Inc | Home Health | 1281 W Ridge Road, Gary, IN 46408 | 2006-07-26 |
| 1023031978 | Nkechi Pauline Onyeukwu | Nurse Practitioner | 3814 Grant Street, Gary, IN 46408 | 2006-07-25 |
| 1093724007 | Geoffrey Okechukwu Onyeukwu | Family Medicine | 3814 Grant Street, Gary, IN 46408 | 2006-08-07 |
| 1629091863 | Home Health Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1281 W Ridge Road, Gary, IN 46408 | 2006-07-26 |
| 1952364648 | Trc - Indiana LLC | Clinic/Center | 4802 Broadway, Gary, IN 46408 | 2006-04-11 |
| 1073510244 | Broadway Foot Clinic Corporation | Podiatrist | 3290 Grant St, Suite 108, Gary, IN 46408-1015 | 2005-07-03 |
| 1205180676 | Fresenius Medical Care Nw Indiana, LLC | Clinic/Center | 3290 Grant St, Gary, IN 46408-1015 | 2012-11-06 |
| 1194830935 | Everest Healthcare Indiana, Inc. | Clinic/Center | 3290 Grant St, Gary, IN 46408-1015 | 2006-08-20 |
| Find all providers in zip 46408 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710166848 | Maie M Shabana | Dentist | 3506 Village Ct, Gary, IN 46408-1428 | 2007-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063904100 | Kokomo Pediatric Dentistry, LLC | Dentist | 2350 S Dixon Rd Ste 425, Kokomo, IN 46902-6422 | 2018-06-05 |
| 1205353802 | Lorie G Brinson, Dds, PC | Dentist | 3934 W 96th St Ste B, Indianapolis, IN 46268-2928 | 2017-08-24 |
| 1265805717 | Smile Academy of Kentucky | Dentist | 2776 Campion Road, Floyds Knobs, IN 47119 | 2015-11-05 |
| 1982986493 | Mark E Mallatt | Dentist | 1753 Esther Ct, Plainfield, IN 46168-9336 | 2011-09-12 |
| 1881906634 | Cratisa Latwann Caldwell | Dentist | 8151 E 21st St, Indianapolis, IN 46219 | 2010-07-09 |
| 1558450346 | James A Roberts | Dentist | 102 N Clark St, Auburn, IN 46706 | 2006-10-12 |
| 1134159676 | Vanderburgh County | Dentist | 612 Se 4th St, Evansville, IN 47713-1210 | 2006-07-03 |
| 1710927843 | Robert Mark Grace | Dentist | Community Health Center, 400 Teagarden, La Porte, IN 46350-3175 | 2006-06-07 |
| 1487262531 | Chloe Katherine Mounayar | Dentist | 1200 Andrew Ave, La Porte, IN 46350-5339 | 2020-07-15 |
| 1164848685 | Gerardo Maupome-carvantes | Dentist | 415 Lansing St, Indianapolis, IN 46202-2855 | 2014-03-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.