Organization Active NPI

Nelson Lowe, D.D.S., Incorporated

  • Prosthodontics
  • Santa Ana, CA
National Provider Identifier
1326197229
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
36399 Issued in CA
Legal business name
NELSON LOWE, D.D.S., INCORPORATED
Practice address
999 N Tustin Ave
Suite 117
Santa Ana, CA 92705-3528
Phone
(714) 550-7474
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Dr. Nelson Lowe, D.D.S.NPI 1710985031
Title
President
Phone
(714) 550-7474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 36399 CA Primary

Addresses

Primary practice location

999 N Tustin Ave
Suite 117
Santa Ana, CA 92705-3528

Mailing address

17602 17TH St
102-258
Tustin, CA 92780-1961
Phone (714) 550-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071227000606 CA Part B Supplier - Clinic/Group Practice 0446330773 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Ana, CA

National Provider Directory

National Provider Directory

Locations

999 N Tustin Ave
Ste 17
Santa Ana, CA 92705
Phone (714) 550-7474

999 N Tustin Ave
Ste 117
Santa Ana, CA 92705
Phone (714) 550-7474

17602 17th St
#102258
Tustin, CA 92780

Practitioners & affiliated clinicians

Practitioners 3

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1326197229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17602 17TH ST",
            "address_2": "102-258",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801961",
            "telephone_number": "714-550-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE",
            "address_2": "SUITE 117",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053528",
            "telephone_number": "714-550-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON LOWE, D.D.S., INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-550-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "36399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.