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MICHIGAN CITY FAMILY DENTISTRY
NPI 1417150137
Dentist - Periodontics in Portage, IN

Active since June 08, 2007
6044 LUTE RD, PORTAGE, IN 46368(219) 764-4004(219) 764-4031 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Michigan City Family Dentistry NPPES

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

MICHIGAN CITY FAMILY DENTISTRY (NPI 1417150137), doing business as Portage Dental Rehab Center, is a healthcare organization registered as a periodontics in Portage, Indiana and active in the NPI registry since June 2007. The organization lists Creshinda Denise Ayangade, Dentist, as its authorized official.

NPPES Registry Identity

NPI1417150137
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameMICHIGAN CITY FAMILY DENTISTRY
Location Address6044 LUTE RDPortage, IN 46368-5008
Mailing Address6044 Lute RdPortage, IN 46368-5008 · (219) 764-4004 · Fax (219) 764-4031
Phone(219) 764-4004
Fax(219) 764-4031
Organization SubpartNo
Authorized OfficialCreshinda Denise AyangadeDentist · (219) 764-4004
Enumeration DateJune 8, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1417150137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentistTaxonomy 122300000X
6044 LUTE RD, Portage, IN 46368
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Other Names 1

Doing Business AsPortage Dental Rehab Center

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

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 Michigan City Family Dentistry's NPI number?

The NPI number for Michigan City Family Dentistry is 1417150137. It was assigned to this organization in the NPPES registry on June 8, 2007. The provider is doing business as Portage Dental Rehab Center.

Where is Michigan City Family Dentistry located?

Michigan City Family Dentistry is located at 6044 Lute Rd, Portage, IN 46368. The listed phone number is (219) 764-4004.

What is Michigan City Family Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Michigan City Family Dentistry accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Michigan City Family Dentistry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michigan City Family Dentistry was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.