MR. LOWELL BRUCE DAVIS DDS, MS
NPI 1114032349
Dentist - Periodontics in Oakland, CA

Active since August 20, 2006PECOS Enrolled
2844 SUMMIT ST STE 202, OAKLAND, CA 94609(510) 834-3414(510) 763-6004 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 30, 2024, Oct 6, 2020 (2 updates tracked since 2020).

About Mr. Lowell Bruce Davis Dds, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LOWELL BRUCE DAVIS DDS, MS (NPI 1114032349) is an individual periodontics provider in Oakland, California, licensed in California (26049) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114032349
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameMR. LOWELL BRUCE DAVISCredential: DDS, MS
Location Address2844 SUMMIT ST STE 202Oakland, CA 94609-3642
Mailing Address2844 Summit St Ste 202Oakland, CA 94609-3642 · (510) 834-3414 · Fax (510) 763-6004
Fax(510) 763-6004
Sole ProprietorNo
Enumeration DateAugust 20, 2006
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedOctober 6, 2020
NPI 1114032349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in CA · 26049
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2844 SUMMIT ST STE 202, Oakland, CA 94609

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Lowell Bruce Davis Dds, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94609 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lowell Davis's NPI number?

The NPI number for Lowell Davis is 1114032349. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Lowell Davis located?

Lowell Davis practices at 2844 Summit St Ste 202, Oakland, CA 94609. The listed phone number is (510) 834-3414.

What is Lowell Davis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Lowell Davis enrolled in Medicare?

Yes. Lowell Davis is registered in the Medicare PECOS enrollment system.

What insurance does Lowell Davis accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Lowell Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lowell Davis was last updated on December 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.