Organization Active NPI

Roger a. Lowlicht DDS,PC

  • Oral and Maxillofacial Surgery (Dentist)
  • North Haven, CT
National Provider Identifier
1417228503
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2063303 Issued in CT
Legal business name
ROGER A. LOWLICHT DDS,PC
Practice address
185 Maple Ave
North Haven, CT 06473-3324
Phone
(203) 234-8888
Fax
(203) 234-9489
NPI assigned
Jan 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Authorized official

Name
Dr. Roger A Lowlicht, MS,DDS
Title
Owner
Phone
(203) 234-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 2063303 CT Primary

Addresses

Primary practice location

185 Maple Ave
North Haven, CT 06473-3324

Mailing address

185 Maple Avenue
North Haven, CT 06473
Phone (203) 234-8888

Other identifiers 1

IdentifierTypeStateIssuer
190000607OtherCTMEDICARE ID

National Provider Directory

National Provider Directory

Locations

19 Laurel St
Branford, CT 06405
Phone (203) 234-8888

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1417228503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MAPLE AVENUE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "06473",
            "telephone_number": "203-234-8888",
            "fax_number": "203-234-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MAPLE AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733324",
            "telephone_number": "203-234-8888",
            "fax_number": "203-234-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER A. LOWLICHT DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "LOWLICHT",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-234-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MS,DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "2063303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "190000607",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.