Individual provider Active NPI

Jeremy Lowy, D.M.D., M.S.D.

  • Periodontics
  • Denver, CO
National Provider Identifier
1902218886
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
00203291 Issued in CO
Practice address
4301 E Amherst Ave
Denver, CO 80222-6790
Phone
(303) 758-5858
NPI assigned
May 27, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 00203291 CO Primary

Addresses

Primary practice location

4301 E Amherst Ave
Denver, CO 80222-6790

Mailing address

4301 E Amherst Ave
Denver, CO 80222-6790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20160321002109 KY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0143527093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00203291COMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1902218886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 E AMHERST AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 E AMHERST AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226790",
            "telephone_number": "303-758-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWY",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "00203291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.