Active NPI
Richard M Low, DMD
- Dentist
- Brownsburg, IN
National Provider Identifier
1386027118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12012355A
- Practice address
- 945 N Green St
Brownsburg, IN 46112-1032 - Phone
- (317) 852-7112
- NPI assigned
- Jun 29, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12012355A | IN | Primary |
Addresses
Primary practice location
945 N Green St
Brownsburg, IN 46112-1032
Mailing address
6572 Leah CT
Brownsburg, IN 46112-5599
Phone (623) 236-4874
Other practice location 1
3225 Nichol Ave
Anderson, IN 46011-3148
Phone (765) 642-7717
Other practice location 2
1366 N Gardner St
Scottsburg, IN 47170-7793
Phone (812) 752-3524
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 |
|---|---|---|---|
| 12012355A | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bolt Family Dental LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Brownsburg, IN
- NPI 1811456791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1386027118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6572 LEAH CT",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "461125599",
"telephone_number": "623-236-4874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 N GREEN ST",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "461121032",
"telephone_number": "317-852-7112"
}
],
"practiceLocations": [
{
"address_1": "3225 Nichol Ave",
"address_purpose": "LOCATION",
"city": "Anderson",
"state": "IN",
"postal_code": "460113148",
"country_code": "US",
"telephone_number": "765-642-7717",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1366 N Gardner St",
"address_purpose": "LOCATION",
"city": "Scottsburg",
"state": "IN",
"postal_code": "471707793",
"country_code": "US",
"telephone_number": "812-752-3524",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOW",
"first_name": "RICHARD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-29",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12012355A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brownsburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.