Active NPI
Michael Patrick Lowery, D.M.D.
- Endodontics
- Southaven, MS
National Provider Identifier
1184634032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 3300-04
- Practice address
- 5740 Getwell Road
BLDG. 10, Ste. a
Southaven, MS 38672-6347 - Phone
- (662) 890-3196
- Fax
- (662) 890-3197
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 3300-04 | MS | Primary |
Addresses
Primary practice location
5740 Getwell Road
BLDG. 10, Ste. a
Southaven, MS 38672-6347
Mailing address
2805 Pershing CV
Southaven, MS 38672-7122
Phone (662) 449-2829
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 |
|---|---|---|---|
| 3300-04 | MS | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epp Lowery Ms PLLC | Endodontics | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Endodontics
- Southaven, MS
- NPI 1164245312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184634032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 PERSHING CV",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386727122",
"telephone_number": "662-449-2829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5740 GETWELL ROAD",
"address_2": "BLDG. 10, STE. A",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386726347",
"telephone_number": "662-890-3196",
"fax_number": "662-890-3197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWERY",
"first_name": "MICHAEL",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MS",
"license": "3300-04",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
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.