Marcus Lowry, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D-3908 OR Issued in ID

Practice address

2275 S Eagle Rd Ste 100
Meridian, ID 83642-5078

Phone

(208) 855-5045

NPI assigned

Sep 20, 2006

Last updated

Jul 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mlowry@direct.westerndental.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boise West Dental Health LLP

  • General Practice Dentistry
  • Boise, ID
  • NPI 1669480711
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1396843058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 S EAGLE RD STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425078",
            "telephone_number": "208-855-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 S EAGLE RD STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425078",
            "telephone_number": "208-855-5045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9460 W. Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "83709",
            "country_code": "US",
            "telephone_number": "208-377-0410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOWRY",
        "first_name": "MARCUS",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "57194",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ID",
            "license": "D-3908 OR",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO DENTAL LICENSE NUMBER",
            "identifier": "D-3908-OR",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DENTAL LICENSE NUMBER",
            "identifier": "57194",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genna Michelle Rose Lovell
• Lauren Lowe, OTR/L
• Rebecca Lowen, NP
• Lana Krystal Lowey
• Andrew Lowry, DPM
• Jennifer Raun Lucas, PA-C
• Chace Ludwig
• Jason Scott Ludwig, D.O.
• Nancy Luna, BA
• Kimball T. Lundahl, D.C.

• Orthodontics and Dentofacial Orthopedics Dentistry in Meridian, ID
• Providers in Meridian, ID by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.