Organization Active NPI

Nimkee Dental Saginaw Chippewa Indian Tribe

  • Dentist
  • Mt Pleasant, MI
National Provider Identifier
1417039843
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NIMKEE DENTAL SAGINAW CHIPPEWA INDIAN TRIBE
Practice address
2591 S Leaton Rd
Mt Pleasant, MI 48858
Phone
(989) 775-4662
Fax
(989) 775-4666
NPI assigned
Oct 19, 2006
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
Luke Sprague
Title
Tribal Chief
Phone
(989) 775-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

2591 S Leaton Rd
Mt Pleasant, MI 48858

Mailing address

2591 S Leaton Rd
Mt Pleasant, MI 48858-8421
Phone (989) 775-4670

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Health Program2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1417039843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2591 S LEATON RD",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488588421",
            "telephone_number": "989-775-4670",
            "fax_number": "989-775-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 S LEATON RD",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-775-4662",
            "fax_number": "989-775-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMKEE DENTAL SAGINAW CHIPPEWA INDIAN TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "SPRAGUE",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "TRIBAL CHIEF",
        "authorized_official_telephone_number": "989-775-4200"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.