Individual provider Active NPI

Robert Edwin Lowery, D.D.S.

  • General Practice Dentistry
  • Akron, OH
National Provider Identifier
1396978565
Registry record updated Nov 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14970 Issued in OH
Practice address
46 Sand Run Rd
Akron, OH 44313-6290
Phone
(330) 867-7746
Fax
(330) 836-0586
NPI assigned
Sep 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14970 OH Primary
Dentist 122300000X 14970 OH

Addresses

Primary practice location

46 Sand Run Rd
Akron, OH 44313-6290

Mailing address

46 Sand Run Rd
Akron, OH 44313-6290
Phone (330) 867-7746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20161215000525 OH Order and Referring Only - DentistPractitioner - Dentist 9830479591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14970OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Katie Cunningham, D.D.S., LLC PastSince Sep 10, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478908800000",
    "number": "1396978565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 SAND RUN RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443136290",
            "telephone_number": "330-867-7746",
            "fax_number": "330-836-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 SAND RUN RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443136290",
            "telephone_number": "330-867-7746",
            "fax_number": "330-836-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWERY",
        "first_name": "ROBERT",
        "middle_name": "EDWIN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-03",
        "last_updated": "2016-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "14970",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "14970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.