Broadway Dental Services
Broadway Dental Services is a healthcare organization registered as General Practice Dentistry in Gary, IN, holding Type 2 (organization) NPI 1215219084 since 2011. The authorized official on file is Mukuka Kapilikisha, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1215219084 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Broadway Dental Services |
| Practice address | 3195 BROADWAY, Gary, IN, 46409 |
| Phone | 2196713754 |
| Enumeration date | 2011-09-16 |
| Last updated in NPPES | 2011-09-16 |
Authorized official
| Name | Mukuka Kapilikisha |
|---|---|
| Title | Owner |
| Phone | 2196713754 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 12011216A | IN |
Copy-ready billing details
Provider: Broadway Dental Services NPI: 1215219084 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 3195 BROADWAY, Gary, IN, 46409
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1750303343 | Adolphus Anekwe | Individual | Specialist | Gary, IN |
| 1528173853 | Edwin Mcdonald | Individual | Dentist | Gary, IN |
| 1629196761 | Broadway Medical Corporation, PC | Organization | Specialist | Gary, IN |
Verify this record
Cross-check NPI 1215219084 against the authoritative CMS record: view Broadway Dental Services on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Broadway Dental Services?
Who is the authorized official for Broadway Dental Services?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2011-09-16.