Individual provider Active NPI

Robert Wesley Lowry, D.D.S.

  • General Practice Dentistry
  • Athens, GA
National Provider Identifier
1366504086
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8055 Issued in GA
Practice address
1000 Hawthorne Ave
Suite R
Athens, GA 30606-2168
Phone
(706) 546-6451
Fax
(706) 549-1902
NPI assigned
Dec 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8055 GA Primary

Addresses

Primary practice location

1000 Hawthorne Ave
Suite R
Athens, GA 30606-2168

Mailing address

1000 Hawthorne Ave
Suite R
Athens, GA 30606-2168
Phone (706) 546-6451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150713001260 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4385956879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366504086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HAWTHORNE AVE",
            "address_2": "SUITE R",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062168",
            "telephone_number": "706-546-6451",
            "fax_number": "706-549-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HAWTHORNE AVE",
            "address_2": "SUITE R",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062168",
            "telephone_number": "706-546-6451",
            "fax_number": "706-549-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWRY",
        "first_name": "ROBERT",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.