Individual provider Active NPI

Jacob Nazeer Zerka, DDS

  • Dentist
  • Lansing, MI
National Provider Identifier
1982443305
Registry record updated Jun 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901602130 Issued in MI
Practice address
1031 Mall Dr E
Lansing, MI 48917-3121
Phone
(517) 323-4105
NPI assigned
May 23, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901602130 MI Primary

Addresses

Primary practice location

1031 Mall Dr E
Lansing, MI 48917-3121

Mailing address

5345 Wyndemere SQ
Swartz Creek, MI 48473-8905
Phone (810) 288-1171

Other practice location 1

529 N Hewitt Rd
Ypsilanti, MI 48197-1812
Phone (734) 434-3820

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901602130MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul L Rashid DMD Dentist CurrentSince May 26, 2024 Accepting new patients
Kimberly a Rice DDS PLC Dentist Past Accepting new patients

Locations

1031 Mall Dr E
Lansing, MI 48917
Phone (517) 323-4105

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.

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717286400000",
    "number": "1982443305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 WYNDEMERE SQ",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484738905",
            "telephone_number": "810-288-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 MALL DR E",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489173121",
            "telephone_number": "517-323-4105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "529 N Hewitt Rd",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481971812",
            "country_code": "US",
            "telephone_number": "734-434-3820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZERKA",
        "first_name": "JACOB",
        "middle_name": "NAZEER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-06-02",
        "certification_date": "2024-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901602130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2024; 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.