OrganizationActive
Michigan City Family Dentistry
NPI 1417150137 · Periodontics · Portage, IN
Michigan City Family Dentistry is a Periodontics organization in Portage, IN (NPI 1417150137).
Provider details
- NPI number
- 1417150137
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Creshinda Ayangade, Dentist(219) 764-4004
Specialties & taxonomies
Dental Providers
- Dentist122300000X
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
6044 Lute Rd
Portage, IN 46368-5008
Phone: (219) 764-4004
Fax: (219) 764-4031
Street-level locationGet directions
Mailing address
6044 Lute Rd
Portage, IN 46368-5008
Other names (DBA / former)
- Doing business as
- Portage Dental Rehab Center
Registry dates
- Enumerated
- 2007-06-08
- Last updated
- 2025-09-11
Frequently asked questions
- What is Michigan City Family Dentistry's NPI number?
- Michigan City Family Dentistry's National Provider Identifier (NPI) is 1417150137, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michigan City Family Dentistry?
- Michigan City Family Dentistry is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Michigan City Family Dentistry located?
- Michigan City Family Dentistry's practice location on file with NPPES is 6044 Lute Rd, Portage, IN 46368-5008.
- What is Michigan City Family Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Michigan City Family Dentistry is (219) 764-4004.
- Who is the authorized official for Michigan City Family Dentistry?
- The authorized official listed on Michigan City Family Dentistry's NPPES record is Creshinda Ayangade, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michigan City Family Dentistry's NPI active?
- Yes — Michigan City Family Dentistry's NPI (1417150137) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.