Individual provider Active NPI

Julie Ann Lohr, DDS

  • General Practice Dentistry
  • Sioux City, IA
National Provider Identifier
1689837577
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08569 Issued in IA
Practice address
2918 Hamilton Blvd
Suite 1
Sioux City, IA 51104-2414
Phone
(712) 255-1163
Fax
(712) 252-6157
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 08569 IA Primary

Addresses

Primary practice location

2918 Hamilton Blvd
Suite 1
Sioux City, IA 51104-2414

Mailing address

2918 Hamilton Blvd
Suite 1
Sioux City, IA 51104-2414
Phone (712) 255-1163

Other identifiers 1

IdentifierTypeStateIssuer
0268888MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150427001979 IA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8224227814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08569IAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1689837577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 HAMILTON BLVD",
            "address_2": "SUITE 1",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042414",
            "telephone_number": "712-255-1163",
            "fax_number": "712-252-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 HAMILTON BLVD",
            "address_2": "SUITE 1",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042414",
            "telephone_number": "712-255-1163",
            "fax_number": "712-252-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOHR",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0268888",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.