Lowell G. Mitchell Jr.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7166 Issued in IN

Practice address

310 E Lincoln St
Kentland, IN 47951-1135

Phone

(219) 474-5059

Fax

(219) 474-3544

NPI assigned

Aug 9, 2006

Last updated

Feb 14, 2008By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kentland Family Dentistry

  • Dentist
  • Kentland, IN
  • NPI 1366854143
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1417967597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E LINCOLN ST",
            "city": "KENTLAND",
            "state": "IN",
            "postal_code": "479511135",
            "telephone_number": "219-474-5059",
            "fax_number": "219-474-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E LINCOLN ST",
            "city": "KENTLAND",
            "state": "IN",
            "postal_code": "479511135",
            "telephone_number": "219-474-5059",
            "fax_number": "219-474-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "LOWELL",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "7166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paola Gomez, PHLEBOTOMIST
• Colleen Henderson, NP
• Hook-Superx LLC (CVS Pharmacy #06670)
• Iroquois Memorial Hospital and Resident Home (IMH Kentland Clinic)
• Kentland Family Dentistry
• Michelle Stoyanov Moore, PA-C
• Deborah L Morgan, N.P.
• Christopher J Moss, DHSC, ATC
• Jayne Frances Polen, SLPA
• Proactive Mso, LLC (Proactive MD South Newton Health Center)

• General Practice Dentistry in Kentland, IN
• Providers in Kentland, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.