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INDIANA UNIVERSITY NORTHWEST
NPI 1912067349
Dentist - Dental Public Health in Gary, IN

Active since December 08, 2006

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Indiana University Northwest NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDIANA UNIVERSITY NORTHWEST (NPI 1912067349) is a healthcare organization registered as a dental public health in Gary, Indiana and active in the NPI registry since December 2006. The organization lists Cindy Zak, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1912067349
Entity TypeOrganization
Primary Taxonomy1223D0001X
Legal Business NameINDIANA UNIVERSITY NORTHWEST
Location Address3400 BROADWAYGary, IN 46408-1101
Mailing Address3400 BroadwayGary, IN 46408-1101 · (219) 980-6772
Phone(219) 980-6772
Organization SubpartNo
Authorized OfficialCindy ZakClinic Manager · (219) 980-6772
Enumeration DateDecember 8, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1912067349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
License✔ Licensed in IN · 0
Definition
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.
3400 BROADWAY, Gary, IN 46408
Open in Google Maps ↗

Other Identifiers 1

Medicaid200082120IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRYNN NYLIN
Student in an Organized Health Care Education/Training Program
3400 BROADWAY
GARY, IN 46408
Lake County (219) 980-6550
ERIC ANTHONY GONSIOROWSKI
Student in an Organized Health Care Education/Training Program
3400 BROADWAY
GARY, IN 46408
Lake County (888) 968-7486
BRITTNEY MCKNIGHT
Student in an Organized Health Care Education/Training Program
3400 BROADWAY
GARY, IN 46408
Lake County (219) 980-6550
ANTHONY XAVIER RODRIGUEZ JR.
Student in an Organized Health Care Education/Training Program
3400 BROADWAY
GARY, IN 46408
Lake County (219) 980-6550
NORTHWEST CENTER MEDICAL SERVICES CORP
Medical Genetics (Clinical Cytogenetics)
3400 BROADWAY
GARY, IN 46408
Lake County (219) 980-6699
RILEY ERIN BURNSIDE
Student in an Organized Health Care Education/Training Program
3400 BROADWAY
GARY, IN 46408
Lake County (219) 980-6770
IMRAN MUHAMMAD MIHAS
Student in an Organized Health Care Education/Training Program
3400 BROADWAY
GARY, IN 46408
Lake County (219) 980-6550
KAITLYN NICOLE GREGERSON
Student in an Organized Health Care Education/Training Program
3400 BROADWAY
GARY, IN 46408
Lake County (219) 323-0820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Indiana University Northwest's NPI number?

The NPI number for Indiana University Northwest is 1912067349. It was assigned to this organization in the NPPES registry on December 8, 2006.

Where is Indiana University Northwest located?

Indiana University Northwest is located at 3400 Broadway, Gary, IN 46408. The listed phone number is (219) 980-6772.

What is Indiana University Northwest's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

When was this NPI record last updated?

The NPPES record for Indiana University Northwest was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.