Individual provider Active NPI

Cody Lowe, DMD

  • Dentist
  • Lakeland, FL
National Provider Identifier
1174190987
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN25829 Issued in FL
Practice address
215 Imperial Blvd Ste C2
Lakeland, FL 33803-4689
Phone
(863) 619-8836
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN25829 FL Primary

Addresses

Primary practice location

215 Imperial Blvd Ste C2
Lakeland, FL 33803-4689

Mailing address

607 Sunset Beach CT
Valrico, FL 33594-7613
Phone (239) 331-1733

Other practice location 1

10021 Burnt Store Rd
Punta Gorda, FL 33950-7929
Phone (941) 344-2148

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
DN25829FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Dental P.a. Dentist CurrentSince Oct 31, 2021 Accepting new patients
Artistic Dental of Polk City, LLC PastSince Jun 1, 2021 Accepting new patients
Coast Dental P.a. Dentist PastSince Oct 31, 2021 Accepting new patients
Kreative Dental Care PA PastSince Jun 1, 2021 Accepting new patients

Locations

1912 W Reynolds St
Plant City, FL 33563
Phone (813) 567-7001

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1174190987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 SUNSET BEACH CT",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335947613",
            "telephone_number": "239-331-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 IMPERIAL BLVD STE C2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034689",
            "telephone_number": "863-619-8836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10021 Burnt Store Rd",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339507929",
            "country_code": "US",
            "telephone_number": "941-344-2148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOWE",
        "first_name": "CODY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.