Michiana Dental Care

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MICHIANA DENTAL CARE

Practice address

518 Lincolnway W
Mishawaka, IN 46544-1807

Phone

(574) 255-5630

NPI assigned

Jun 3, 2020

Organization subpart

No

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

Authorized official

Name

Aracelis Morgan

Title

Dental Billing

Phone

(616) 457-2299

Specialties & licenses 1

Addresses

Other names 1

• Midwest Family Dental Care Doing business as

Locations

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1992329148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 LINCOLNWAY W",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465441807",
            "telephone_number": "574-255-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 LINCOLNWAY W",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465441807",
            "telephone_number": "574-255-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIANA DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "ARACELIS",
        "authorized_official_title_or_position": "DENTAL BILLING",
        "authorized_official_telephone_number": "616-457-2299"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven M Mezsick, M.D.
• Michael L Rupley PHD PC
• Michael Salcedo DPM
• Lisa Marie Michalski
• Michiana Chiropractic Center
• Michiana Dental Sleep, LLC.
• Michiana Eye Center LLC
• Michiana Eye Institute LLC
• Michiana Hematology-Oncology P C
• Michiana Hematology-Oncology P C

• Dentist in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.