Individual provider Active NPI

Ericka Shelly Lowe, DMD, MS

  • Endodontics
  • Apopka, FL
National Provider Identifier
1063636710
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN17256 Issued in FL
Practice address
660 Executive Park CT Ste 1600
Apopka, FL 32703-6080
Phone
(407) 930-4496
Fax
(321) 972-2443
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17256 FL
Endodontics 1223E0200X DN17256 FL Primary

Addresses

Primary practice location

660 Executive Park CT Ste 1600
Apopka, FL 32703-6080

Mailing address

660 Executive Park CT Ste 1600
Apopka, FL 32703-6080
Phone (407) 930-4496

Other identifiers 2

IdentifierTypeStateIssuer
076768900MedicaidFL
023026500MedicaidFL

Other names 1

  • Ericka Ferguson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 31, 2016 through Mar 31, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN17256FLMDEndodontist
17256FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Epp Florida PLLC Endodontics CurrentSince Aug 7, 2022 Accepting new patients
Simple Solutions Endodontics LLC Endodontics CurrentSince Jul 5, 2020 Accepting new patients

Locations

660 Executive Park Ct
Ste 1600
Apopka, FL 32703
Phone (407) 930-4496

2438 E Semoran Blvd
Apopka, FL 32703
Phone (407) 703-5968

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1063636710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 EXECUTIVE PARK CT STE 1600",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327036080",
            "telephone_number": "407-930-4496",
            "fax_number": "407-930-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 EXECUTIVE PARK CT STE 1600",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327036080",
            "telephone_number": "407-930-4496",
            "fax_number": "321-972-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWE",
        "first_name": "ERICKA",
        "middle_name": "SHELLY",
        "name_prefix": "Mrs.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2023-07-18",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "17256",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN17256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076768900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023026500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICKA",
            "last_name": "FERGUSON",
            "credential": "DMD, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.