Edward Irvin Maxwell Lowry, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-5548 Issued in ID

Practice address

1800 Lincoln Way Ste 100
Coeur D Alene, ID 83814-2570

Phone

(208) 699-4312

NPI assigned

Jul 13, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1275212656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11043 EVANS ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542708",
            "telephone_number": "208-699-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LINCOLN WAY STE 100",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142570",
            "telephone_number": "208-699-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWRY",
        "first_name": "EDWARD",
        "middle_name": "IRVIN MAXWELL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-5548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Lauritz Low, MD
• Madison Lowe
• Keely R Lowman, OTR/L
• Levi Lowrey
• Edward I Lowry, DDS
• LSS Behavior Therapy LLC
• Matthew J Lucas, PT
• Lauren Scott Luchini, MS, LMFT
• Wendy Ann Lucier, MS-CCC-SLP
• Derek Lucky

• General Practice Dentistry in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.