Vasco. Alexander Lowery III, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DN010807 Issued in GA

Practice address

RR 2 Box 408
Memorial Drive
Eastanollee, GA 30538-9523

Phone

(706) 886-8472

Fax

(706) 886-5664

NPI assigned

Apr 18, 2007

Last updated

May 4, 2016By 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

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Lowery Dental Group PC

  • Dentist
  • Eastanollee, GA
  • NPI 1023543188
  NPD (past) Authorized official

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1982820601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MEMORIAL DR",
            "address_2": "MEMORIAL DRIVE",
            "city": "EASTANOLLEE",
            "state": "GA",
            "postal_code": "305383213",
            "telephone_number": "706-886-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 408",
            "address_2": "MEMORIAL DRIVE",
            "city": "EASTANOLLEE",
            "state": "GA",
            "postal_code": "305389523",
            "telephone_number": "706-886-8472",
            "fax_number": "706-886-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWERY",
        "first_name": "VASCO.",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN010807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Grant Holliday, DMD, MS
• Independent Physical Therapy of Ga, LLC
• Lincare Inc.
• Lowery Dental Group PC
• Elizabeth Bailey Lowery, D.M.D.
• Kristoffer Totanes Magallanes
• Noel Pauley, LPC
• Ernest R Prow III, LPC
• Andrea Reganato, LMFT
• Reins of Life Inc

• Dentist in Eastanollee, GA
• Providers in Eastanollee, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.