Skyler Edward Myers, D.M.D. – Dentist

Key facts

NPI: 1780114025
Entity type: Individual (NPI type 1)
Primary specialty: Dentist 122300000X
License: 3927-17 (MS)
Practice address: 302 Court SQ
Lexington, MS 39095-3630
Phone: (662) 834-9899
NPI assigned: Jun 19, 2017
Sex: Male
Sole proprietor: Yes

Organizations & group practices 2

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.

Heather Killebrew Tutor, DMD, PA Dentist · Lexington, MS · NPI 1205082963

NPD (past) DENTIST
Lexington Dental, PLLC Dental Clinic/Center · Lexington, MS · NPI 1821614959

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
3927-17	MS	MD	Dentist

Practice roles

Organization	Specialty	Status	New patients
Heather Killebrew Tutor, DMD, PA	Dentist	Past	Accepting new patients
Lexington Dental, PLLC		Past since Jun 28, 2020	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist	122300000X	3927-17	MS	Yes

Addresses

Primary practice location

302 Court SQ
Lexington, MS 39095-3630

Mailing address

214 Colonial Cir
Jackson, MS 39211-4211
Phone (601) 616-5158

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 19, 2017.

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497830400000",
    "number": "1780114025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 COLONIAL CIR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392114211",
            "telephone_number": "601-616-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 COURT SQ",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390953630",
            "telephone_number": "662-834-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "SKYLER",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3927-17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MS

All providers in Lexington, MS · Dentist in Mississippi

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.