NPIMap

Organization Active NPI

Lucero DDS Inc. P.C.

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1104139773
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
80 Issued in CO
Legal business name
LUCERO DDS INC. P.C.
Practice address
1855 Austin Bluffs Pkwy
Colorado Springs, CO 80918-7880
Phone
(719) 599-5980
Fax
(719) 599-0691
NPI assigned
Jul 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Authorized official

Name
Dr. Orlando Juan Lucero, DDS
Title
Dentist/Owner
Phone
(179) 599-5980

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 80 CO Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 7290 CO

Addresses

Primary practice location

1855 Austin Bluffs Pkwy
Colorado Springs, CO 80918-7880

Mailing address

1855 Austin Bluffs Pkwy
Colorado Springs, CO 80918-7880
Phone (719) 599-5980

Other identifiers 1

IdentifierTypeStateIssuer
04017570MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Lucero DDS Inc PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1855 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 599-5980

NPI Registry JSON

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1104139773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 AUSTIN BLUFFS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187880",
            "telephone_number": "719-599-5980",
            "fax_number": "719-599-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 AUSTIN BLUFFS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187880",
            "telephone_number": "719-599-5980",
            "fax_number": "719-599-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCERO DDS INC. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "LUCERO",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_middle_name": "JUAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "179-599-5980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "80",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7290",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04017570",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.