Individual provider Active NPI

Gary Paul Low, DDS

  • Dentist
  • Camanche, IA
National Provider Identifier
1730266305
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6656 Issued in IA
Practice address
814 7TH Ave
Camanche, IA 52730-1811
Phone
(563) 259-1431
NPI assigned
Nov 1, 2006
Last updated
Apr 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6656 IA Primary

Addresses

Primary practice location

814 7TH Ave
Camanche, IA 52730-1811

Mailing address

814 7TH Ave
Camanche, IA 52730-1811
Phone (563) 259-1431

Other identifiers 2

IdentifierTypeStateIssuer
0185348OtherIATITLE XIX PROVIDER NUMBER
6656OtherIASTATE LICENSE NUMBER

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
I20150508000197 IA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3072832351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6656IAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1730266305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 7TH AVE",
            "city": "CAMANCHE",
            "state": "IA",
            "postal_code": "527301811",
            "telephone_number": "563-259-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 7TH AVE",
            "city": "CAMANCHE",
            "state": "IA",
            "postal_code": "527301811",
            "telephone_number": "563-259-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOW",
        "first_name": "GARY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "6656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TITLE XIX PROVIDER NUMBER",
            "identifier": "0185348",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "6656",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camanche, IA

Sources for this page

Verify at the official NPI Registry.