NPIMap

Organization Active NPI

Jacob Myers, DDS, PLLC

  • Pediatric Dentistry
  • East Lansing, MI
National Provider Identifier
1578963237
Registry record updated Sep 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
20163 Issued in MI
Legal business name
JACOB MYERS, DDS, PLLC
Practice address
2121 Abbot Rd
East Lansing, MI 48823-8535
Phone
(517) 337-0032
NPI assigned
Sep 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2014

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

Authorized official

Name
Dr. Jacob E Myers, DDS
Title
Owner
Phone
(517) 337-0032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 20163 MI Primary

Addresses

Primary practice location

2121 Abbot Rd
East Lansing, MI 48823-8535

Mailing address

2121 Abbot Rd
East Lansing, MI 48823-8535
Phone (517) 337-0032

National Provider Directory

National Provider Directory

Locations

2121 Abbott Rd
East Lansing, MI 48823
Phone (517) 337-0032

NPI Registry JSON

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

{
    "created_epoch": "1409529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409529600000",
    "number": "1578963237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 ABBOT RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238535",
            "telephone_number": "517-337-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 ABBOT RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238535",
            "telephone_number": "517-337-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB MYERS, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-01",
        "last_updated": "2014-09-01",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-337-0032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "20163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2014; 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.