1. Home
  2. Directory
  3. Michigan
  4. Saint Joseph
  5. Dentist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. NICKY WAYNE NANNFELDT DDS
NPI 1649212127
Dentist in Saint Joseph, MI

Active since June 11, 2006
1600 NILES AVE, SAINT JOSEPH, MI 49085(269) 983-1812(269) 983-3282 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Nicky Wayne Nannfeldt Dds NPPES

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

MR. NICKY WAYNE NANNFELDT DDS (NPI 1649212127) is an individual dentist in Saint Joseph, Michigan, licensed in Michigan (10461) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1649212127
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. NICKY WAYNE NANNFELDTCredential: DDS
Location Address1600 NILES AVESaint Joseph, MI 49085-1609
Mailing Address1600 Niles AveSaint Joseph, MI 49085-1609 · (269) 983-1812 · Fax (269) 983-3282
Phone(269) 983-1812
Fax(269) 983-3282
Sole ProprietorNo
Enumeration DateJune 11, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1649212127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 10461
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1600 NILES AVE, Saint Joseph, MI 49085
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTH ELEVATED PLLC
Occupational Therapist (Physical Rehabilitation)
1600 NILES AVE
SAINT JOSEPH, MI 49085
Berrien County (773) 677-8921
GREGORY E. BAUMAN, DDS, PLC
Dentist (General Practice)
1600 NILES AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 983-1812

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 Nicky Nannfeldt's NPI number?

The NPI number for Nicky Nannfeldt is 1649212127. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Nicky Nannfeldt located?

Nicky Nannfeldt practices at 1600 Niles Ave, Saint Joseph, MI 49085. The listed phone number is (269) 983-1812.

What is Nicky Nannfeldt's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Nicky Nannfeldt was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.