Active NPI
Michelle Anne Lowery
- Dental Hygienist
- Santa Rita, GU
National Provider Identifier
1801235221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 007017
- Practice address
- 5 Saipan Street
Santa Rita, GU 96915 - Phone
- (671) 564-0886
- NPI assigned
- Jun 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 007017 | GA | Primary |
Addresses
Primary practice location
5 Saipan Street
Santa Rita, GU 96915
Mailing address
5 Saipan St
Santa Rita, GU 96915-1441
Phone (671) 564-0886
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
| License | State | Type | Specialty |
|---|---|---|---|
| 007017 | GA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371600000000",
"number": "1801235221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 SAIPAN ST",
"city": "SANTA RITA",
"state": "GU",
"postal_code": "969151441",
"telephone_number": "671-564-0886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 SAIPAN STREET",
"city": "SANTA RITA",
"state": "GU",
"postal_code": "96915",
"telephone_number": "671-564-0886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWERY",
"first_name": "MICHELLE",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-19",
"last_updated": "2013-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "GA",
"license": "007017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rita, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.