Individual provider Active NPI

Elizabeth Lavagni Lowery, DDS

  • Dentist
  • Austin, TX
National Provider Identifier
1740454768
Registry record updated Jul 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21373 Issued in TX
Practice address
15004 Avery Ranch Blvd BLDG B Ste 100
Austin, TX 78717
Phone
(512) 866-3800
NPI assigned
Apr 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21373 TX Primary

Addresses

Primary practice location

15004 Avery Ranch Blvd BLDG B Ste 100
Austin, TX 78717

Mailing address

15004 Avery Ranch Blvd BLDG B Ste 100
Austin, TX 78717
Phone (512) 866-3800

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
21373TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Elite Dental, PLLC CurrentSince Aug 4, 2024 Accepting new patients
Avery Ranch Family & Cosmetic Dentistry, P.a. Dentist Current Accepting new patients
Elite Cosmetic Dental of Austin, PC CurrentSince Apr 1, 2022 Accepting new patients

Locations

15004 Avery Ranch Blvd
Bldg B-100
Austin, TX 78717
Phone (512) 866-3800

1600 W 38th St
Ste 305
Austin, TX 78731
Phone (512) 454-9549

14900 Avery Ranch Blvd
Ste C100
Austin, TX 78717
Phone (512) 238-1244

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722124800000",
    "number": "1740454768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15004 AVERY RANCH BLVD BLDG B STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78717",
            "telephone_number": "512-866-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15004 AVERY RANCH BLVD BLDG B STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78717",
            "telephone_number": "512-866-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWERY",
        "first_name": "ELIZABETH",
        "middle_name": "LAVAGNI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "21373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; 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.