Lisa A. Nowlin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4652 Issued in OK

Practice address

201 Garrett St
Elk City, OK 73644-4332

Phone

(580) 225-4690

Fax

(580) 225-8205

NPI assigned

Jun 24, 2006

Sex

Female

Sole proprietor

No

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

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.

Opted out of Medicare

Previously, effective Sep 14, 2020 through Sep 14, 2026

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 and National Provider Directory roles.

• Nowlin Dental Clinic

  • General Practice Dentistry
  • Elk City, OK
  • NPI 1750323135
  NPD (past) Authorized official

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477589232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 GARRETT ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444332",
            "telephone_number": "580-225-4690",
            "fax_number": "580-225-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GARRETT ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444332",
            "telephone_number": "580-225-4690",
            "fax_number": "580-225-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWLIN",
        "first_name": "LISA",
        "middle_name": "A.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Nebhut
• Madison Negrin, RBT
• Christa Lynn Newberry
• Rhonda Gayle Noreuil
• Nowlin Dental Clinic
• Robert F. Nowlin, D.D.S.
• Kyndall O'Donnell, APRN
• Oklahoma Eye Institute
• Oklahoma Eye Institute Procedures LLC
• Oklahoma Family Choice Home Healthcare Inc

• General Practice Dentistry in Elk City, OK
• Providers in Elk City, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.