Organization Active NPI

William G. Low D.D.S. a Professional Dental Corporation

  • General Practice Dentistry
  • Manteca, CA
National Provider Identifier
1295981330
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WILLIAM G. LOW D.D.S. A PROFESSIONAL DENTAL CORPORATION
Practice address
230 Cherry LN
Manteca, CA 95337-4384
Phone
(209) 823-9249
Fax
(209) 823-3390
NPI assigned
Aug 8, 2008
Organization subpart
Yes
Parent organization
WILLIAM G. LOWAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Dr. Everett L. Low
Title
D.D.S
Phone
(209) 823-9249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

230 Cherry LN
Manteca, CA 95337-4384

Mailing address

230 Cherry LN
Manteca, CA 95337-4384
Phone (209) 823-9249

Other names 1

  • Dental Professional Corp. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
William Glow DDS a Professional Dental Corp2 organizations share this tax ID, including this one
Part of
William Glow DDS a Professional Dental Corp

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

230 Cherry Ln
Manteca, CA 95337
Phone (209) 823-9249

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1295981330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CHERRY LN",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953374384",
            "telephone_number": "209-823-9249",
            "fax_number": "209-823-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CHERRY LN",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953374384",
            "telephone_number": "209-823-9249",
            "fax_number": "209-823-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM G. LOW D.D.S. A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLIAM G. LOW",
        "enumeration_date": "2008-08-08",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "LOW",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "D.D.S",
        "authorized_official_telephone_number": "209-823-9249",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Professional Corp.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Professional Corp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.