MEDICARE: MICHAEL NYKAMP DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2901023155	MI

General Provider Information

NPI Number	:	1255991923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL NYKAMP DDS

Provider Business Mailing Address
First Line	:	7514 DELTA COMMERCE DR
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48917-1000
Country	:	US
Telephone Number	:	616-862-9928
Fax Number	:

Provider Business Practice Location Address
First Line	:	5123 W ST JOE HWY
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48917-4093
Country	:	US
Telephone Number	:	517-321-4254
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2019
Last Update Date	:	01/13/2026

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