Derek W. Lowe, DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

115692 Issued in AK

Legal business name

DEREK W. LOWE, DMD, PC

Practice address

570 Riverstone Way Ste 1
Fairbanks, AK 99709-2939

Phone

(907) 455-4350

Fax

(907) 455-4370

NPI assigned

Aug 29, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Maggie B Matheson, MBA

Title

Operations Manager

Phone

(907) 455-4350

Specialties & licenses 1

Addresses

Other names 1

• Alaska Dental Arts Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry Charles Jensen

  • Dentist
  • Fairbanks, AK
  • NPI 1023410529
  NPD (past)
• Emily Amber Kramer, DH

  • Dental Hygienist
  • Fairbanks, AK
  • NPI 1528659331
  NPD (past)
• Derek Wayne Lowe, DMD

  • Dentist
  • Fairbanks, AK
  • NPI 1679786172
  NPD (past)

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1669954483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 RIVERSTONE WAY STE 1",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997092939",
            "telephone_number": "907-455-4350",
            "fax_number": "907-455-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 RIVERSTONE WAY STE 1",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997092939",
            "telephone_number": "907-455-4350",
            "fax_number": "907-455-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK W. LOWE, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "MATHESON",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "907-455-4350",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "115692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaska Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Ward Denton
• Hannah McPhail Denton
• Avery Elaine Depcinski
• Alfred David Deramus, M.D.
• Leonie Horster Deramus, MD
• Madeline Mary Derepentigny
• Marcus Lincoln Derick
• Ariella Juanita Derrickson
• Kim Dertinger
• Alicia Desmond

• General Practice Dentistry in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.