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
- 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 identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 076768900 | Medicaid | FL | |
| 023026500 | Medicaid | FL |
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 |
|---|---|---|---|
| Epp Florida PLLC | Endodontics | Current | Accepting new patients |
| Simple Solutions Endodontics LLC | Endodontics | Current | 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.
-
- Endodontics
- Apopka, FL
- NPI 1134856560
-
- Endodontics
- Apopka, FL
- NPI 1083091342
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
- 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.