Active NPI
Ericka Shelly Lowe, DMD, MS
- Endodontics
- Apopka, FL
National Provider Identifier
1063636710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN17256
- 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
- Last updated
- Jul 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 names 1
- Ericka Ferguson
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN17256 | FL | MD | Endodontist |
| 17256 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simple Solutions Endodontics LLC | Endodontics | Current | Accepting new patients |
Locations
2438 E Semoran Blvd
Apopka, FL 32703
Phone (407) 703-5968
660 Executive Park Ct
Ste 1600
Apopka, FL 32703
Phone (407) 930-4496
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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": [],
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.