Michigan City Family Dentistry

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

MICHIGAN CITY FAMILY DENTISTRY

Doing business as

Portage Dental Rehab Center

Practice address

6044 Lute Rd
Portage, IN 46368-5008

Phone

(219) 764-4004

Fax

(219) 764-4031

NPI assigned

Jun 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Creshinda Denise Ayangade, DMD

Title

Dentist

Phone

(219) 764-4004

Specialties & licenses 2

Addresses

Other names 1

• Portage Dental Rehab Center Doing business as

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.

• Dental Center of Hammond

  • General Practice Dentistry
  • Hammond, IN
  • NPI 1134399561
  NPD tax ID
• Michigan City Family Dentistry

  • Periodontics
  • Michigan City, IN
  • NPI 1124221833
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Y. Pina-Awosika, DDS

  • General Practice Dentistry
  • Portage, IN
  • NPI 1336444793
  NPD (past)

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": "1417150137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6044 LUTE RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685008",
            "telephone_number": "219-764-4004",
            "fax_number": "219-764-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6044 LUTE RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685008",
            "telephone_number": "219-764-4004",
            "fax_number": "219-764-4031"
        }
    ],
    "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": "219-764-4004",
        "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": [
        {
            "organization_name": "Portage Dental Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Midwest LLC
• Chloe Meredith
• Kelleen Merrell, IBCLC
• Louis Miceli, DO
• Bethany Michielsen, FNP-C
• John Steven Midmore, MD
• Midwest Express Care 4 LLC
• Midwest Express Care 4, LLC
• Miller's Health Systems, Inc. (Miller's Senior Living Community)
• Baqhar Mohideen, MD

• Periodontics in Portage, IN
• Providers in Portage, IN by specialty
• Periodontics in Indiana

• 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.