Organization Active NPI

Michigan City Family Dentistry

  • Periodontics
  • Michigan City, IN
National Provider Identifier
1124221833
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
MICHIGAN CITY FAMILY DENTISTRY
Practice address
332 Dunes PLZ
Michigan City, IN 46360-7342
Phone
(219) 871-7171
Fax
(219) 871-0603
NPI assigned
Jun 8, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Creshinda Denise Ayangade, DMDNPI 1720170582
Title
Dentist
Phone
(219) 871-7171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

332 Dunes PLZ
Michigan City, IN 46360-7342

Mailing address

332 Dunes PLZ
Michigan City, IN 46360-7342
Phone (219) 871-7171

National Provider Directory

National Provider Directory
Tax ID family
Michigan City Family Dentistry3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

332 Dunes Plz
Michigan City, IN 46360
Phone (219) 871-7171

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1124221833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 DUNES PLZ",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607342",
            "telephone_number": "219-871-7171",
            "fax_number": "219-871-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 DUNES PLZ",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607342",
            "telephone_number": "219-871-7171",
            "fax_number": "219-871-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN CITY FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "AYANGADE",
        "authorized_official_first_name": "CRESHINDA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "219-871-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.