Organization Active NPI

Mid South Endodontics PLLC

  • Endodontics
  • Germantown, TN
National Provider Identifier
1417414350
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
MID SOUTH ENDODONTICS PLLC
Practice address
1918 Exeter Rd Unit 1
Germantown, TN 38138-2970
Phone
(662) 890-3196
Fax
(662) 890-3197
NPI assigned
Feb 27, 2019
Last updated
Feb 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Authorized official

Name
Michael Patrick Lowery, DMDNPI 1184634032
Title
Member
Phone
(662) 890-3196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

1918 Exeter Rd Unit 1
Germantown, TN 38138-2970

Mailing address

5740 Getwell Rd Ste a
Southaven, MS 38672-6346
Phone (662) 890-3196

National Provider Directory

National Provider Directory

Locations

5740 Getwell Rd
Ste A
Southaven, MS 38672
Phone (901) 302-8101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1417414350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 GETWELL RD STE A",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726346",
            "telephone_number": "662-890-3196",
            "fax_number": "662-890-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 EXETER RD UNIT 1",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382970",
            "telephone_number": "662-890-3196",
            "fax_number": "662-890-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID SOUTH ENDODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "662-890-3196",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.