Individual provider Active NPI

Gary Wayne Lowder, D.D.S

  • General Practice Dentistry
  • Ogden, UT
National Provider Identifier
1750586285
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
07-00686 Issued in UT
Practice address
1690 N Washington Blvd
Suite 2
Ogden, UT 84404-3457
Phone
(801) 782-2722
NPI assigned
Jun 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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 07-00686 UT Primary

Addresses

Primary practice location

1690 N Washington Blvd
Suite 2
Ogden, UT 84404-3457

Mailing address

1690 N Washington Blvd
Suite 2
Ogden, UT 84404-3457
Phone (801) 782-2722

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
07-00686UTMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: glowder42713@direct.med.utah.edu

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1750586285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 N WASHINGTON BLVD",
            "address_2": "SUITE 2",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844043457",
            "telephone_number": "801-782-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 N WASHINGTON BLVD",
            "address_2": "SUITE 2",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844043457",
            "telephone_number": "801-782-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWDER",
        "first_name": "GARY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "07-00686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.