Individual provider Active NPI

Krista Lowen, DDS, MSD

  • Periodontics
  • Tigard, OR
National Provider Identifier
1487918793
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D9794 Issued in OR
Practice address
9900 SW Greenburg Rd Ste 230
Tigard, OR 97223-5473
Phone
(503) 620-1117
NPI assigned
Jul 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DE60100282 WA
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X D9794 OR Primary

Addresses

Primary practice location

9900 SW Greenburg Rd Ste 230
Tigard, OR 97223-5473

Mailing address

2943 NE 29TH Ave
Portland, OR 97212-3558
Phone (971) 645-5241

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
D9794ORMDPeriodontist
DE60100282WAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1487918793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2943 NE 29TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123558",
            "telephone_number": "971-645-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 SW GREENBURG RD STE 230",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235473",
            "telephone_number": "503-620-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWEN",
        "first_name": "KRISTA",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE60100282",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "OR",
            "license": "D9794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.