Sergey V Lozan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00007563 Issued in WA

Practice address

875 140 Ave NE
#102
Bellevue, WA 98005

Phone

(425) 747-4445

Fax

(425) 747-1874

NPI assigned

Nov 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952476855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 140 AVE NE",
            "address_2": "#102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98005",
            "telephone_number": "425-747-4445",
            "fax_number": "425-747-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 140 AVE NE",
            "address_2": "#102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98005",
            "telephone_number": "425-747-4445",
            "fax_number": "425-747-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZAN",
        "first_name": "SERGEY",
        "middle_name": "V",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00007563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5023684",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DENTAL SERVICE",
            "identifier": "57563",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "3287LO",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kami Lowe, PH60654968
• Karen Chen Lowe, ARNP
• Monique Renee Lowe, PH.D., LP
• Seth Patrick Lowell
• Allison Paige Lowy, PHD, BCBA-D, LMHC
• Albert Lu
• Joseph Lu, MD
• Pin-Chen Lu
• Rita Lu
• Weimin Lu, MT

• General Practice Dentistry in Bellevue, WA
• Providers in Bellevue, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.