Active NPI
Michael R Lowder, DMD
- Dentist
- Long Beach, CA
National Provider Identifier
1376833277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29833
- Practice address
- 5901 East Seventh St
VA Long Beach
Long Beach, CA 90822 - Phone
- (562) 826-8000
- NPI assigned
- Apr 12, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 29833 | TX | Primary |
Addresses
Primary practice location
5901 East Seventh St
VA Long Beach
Long Beach, CA 90822
Mailing address
5901 East Seventh St
VA Long Beach
Long Beach, CA 90822
Phone (562) 826-8000
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 |
|---|---|---|---|
| 29833 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504051200000",
"number": "1376833277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 EAST SEVENTH ST",
"address_2": "VA LONG BEACH",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90822",
"telephone_number": "562-826-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 EAST SEVENTH ST",
"address_2": "VA LONG BEACH",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90822",
"telephone_number": "562-826-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWDER",
"first_name": "MICHAEL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-12",
"last_updated": "2017-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "29833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.