Organization Active NPI

Lowe Dental Group and Associates PLLC

Doing business as Awesome Smiles Dental Center

  • Dentist
  • Haymarket, VA
National Provider Identifier
1629408174
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401411583 Issued in VA
Legal business name
LOWE DENTAL GROUP AND ASSOCIATES PLLC
Doing business as
Awesome Smiles Dental Center
Practice address
6468 Trading SQ
Haymarket, VA 20169-2277
Phone
(571) 261-2600
Fax
(571) 261-2699
NPI assigned
Nov 20, 2013
Last updated
Nov 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Authorized official

Name
Dr. Tontra Petrice Lowe, DDSNPI 1215035258
Title
Manager/Owner
Phone
(571) 261-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401411583 VA Primary

Addresses

Primary practice location

6468 Trading SQ
Haymarket, VA 20169-2277

Mailing address

6468 Trading SQ
Haymarket, VA 20169-2277
Phone (571) 261-2600

Other names 1

  • Awesome Smiles Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Awesome Smiles Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1629408174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6468 TRADING SQ",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201692277",
            "telephone_number": "571-261-2600",
            "fax_number": "571-261-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6468 TRADING SQ",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201692277",
            "telephone_number": "571-261-2600",
            "fax_number": "571-261-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWE DENTAL GROUP AND ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "TONTRA",
        "authorized_official_middle_name": "PETRICE",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "571-261-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Awesome Smiles Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haymarket, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.