Individual provider Active NPI

Matthew Low, D.D.S.

  • General Practice Dentistry
  • Fort Dodge, IA
National Provider Identifier
1407389117
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
09637 Issued in IA
Practice address
126 N 10TH St
Fort Dodge, IA 50501
Phone
(515) 576-6500
NPI assigned
Apr 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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 09637 IA Primary

Addresses

Primary practice location

126 N 10TH St
Fort Dodge, IA 50501

Mailing address

126 N 10TH St
Fort Dodge, IA 50501-3915

Other practice location 1

126 N 10th St
Fort Dodge, IA 50501
Phone (515) 576-6500

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

LicenseStateTypeSpecialty
09637IAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1407389117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 N 10TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505013915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N 10TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "50501",
            "telephone_number": "515-576-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 N 10th St",
            "address_purpose": "LOCATION",
            "city": "Fort Dodge",
            "state": "IA",
            "postal_code": "50501",
            "country_code": "US",
            "telephone_number": "515-576-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOW",
        "first_name": "MATTHEW",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-10",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "09637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.