Active NPI
Lisa Diane Lowe, RDH
- Dental Hygienist
- Johnson City, TN
National Provider Identifier
1093879900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 3735
- Practice address
- 1233 Southwest Avenue Extension
Johnson City, TN 37604-6519 - Phone
- (423) 979-3200
- Fax
- (423) 979-3267
- NPI assigned
- Dec 22, 2006
- Last updated
- Jul 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 3735 | TN | Primary |
Addresses
Primary practice location
1233 Southwest Avenue Extension
Johnson City, TN 37604-6519
Mailing address
115 Fields Private Dr
Watauga, TN 37694-3206
Phone (423) 542-5584
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3735 | TN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093879900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 FIELDS PRIVATE DR",
"city": "WATAUGA",
"state": "TN",
"postal_code": "376943206",
"telephone_number": "423-542-5584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 SOUTHWEST AVENUE EXTENSION",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376046519",
"telephone_number": "423-979-3200",
"fax_number": "423-979-3267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWE",
"first_name": "LISA",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TN",
"license": "3735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.