Jacob Edward Myers, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2901020163 Issued in MI

Practice address

3511 Coolidge Rd
East Lansing, MI 48823-6390

Phone

(517) 337-0032

NPI assigned

Jul 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pediatric Dentistry of East Lansing

  • Pediatric Dentistry
  • East Lansing, MI
  • NPI 1225632284
  NPD Authorized official

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1174713853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 COOLIDGE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236390",
            "telephone_number": "517-337-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 COOLIDGE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236390",
            "telephone_number": "517-337-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JACOB",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901020163",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011031A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Nicole Mullings
• Jasdeep Multani
• Paul Mulvey, DO
• Mohamed Hussain Mussa, DDS
• Muhammad Mustafa, MD
• Olivia Myers, OTRL
• Lawrence Walter Mysliwiec, D.O.
• N E Family Physicians & Therapy SVC
• Hana Nadeem Mohamed Saeed Nadeem, M.D.
• Spencer Alan Naffziger

• Pediatric Dentistry in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.