Active NPI
Morgan Steely, DDS
- General Practice Dentistry
- Mishawaka, IN
National Provider Identifier
1568948552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12014022A
- Practice address
- 230 E Day Rd Ste 150
Mishawaka, IN 46545-3463 - Phone
- (574) 800-5080
- NPI assigned
- Jul 13, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12014022A | IN | Primary |
| General Practice Dentistry | 1223G0001X | 30.025719 | OH | |
| Dentist | 122300000X | 2901022760 | MI |
Addresses
Primary practice location
230 E Day Rd Ste 150
Mishawaka, IN 46545-3463
Mailing address
230 E Day Rd Ste 150
Mishawaka, IN 46545-3463
Phone (574) 800-5080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241121000352 | IN | Practitioner - Dentist | 6800145269 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12014022A | IN | MD | General Practice Dentistry |
| 30.025719 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mishawaka Sleep Inc | Dentist | Current | Accepting new patients |
Locations
230 E Day Rd
Ste 150
Mishawaka, IN 46545
Phone (574) 231-6190
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Mishawaka, IN
- NPI 1053936484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1568948552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 E DAY RD STE 150",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465453463",
"telephone_number": "574-800-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 E DAY RD STE 150",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465453463",
"telephone_number": "574-800-5080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELY",
"first_name": "MORGAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-13",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12014022A",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.025719",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901022760",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.