Tatiana O Lucas, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS041087 Issued in PA

Practice address

272 Cross Roads PLZ
Mount Pleasant, PA 15666

Phone

(724) 547-0690

Fax

(724) 547-1918

NPI assigned

Aug 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Locations

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

• Dr. Tatiana Lucas, DDS Family Dentistry, PLLC

  • Dental Clinic/Center
  • Mount Pleasant, PA
  • NPI 1467976878
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1114473576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 CROSS ROADS PLZ",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156662288",
            "telephone_number": "724-547-0690",
            "fax_number": "724-547-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 CROSS ROADS PLZ",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "15666",
            "telephone_number": "724-547-0690",
            "fax_number": "724-547-1918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "272 Cross Roads Plz",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "PA",
            "postal_code": "15666",
            "country_code": "US",
            "telephone_number": "724-547-0690",
            "fax_number": "724-547-1918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "TATIANA",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "WV4232",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032153500002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Efren B Leonida, M.D.
• Efren L Leonida, M.D.
• Jennifer Leonida, CRNP
• Young Kyu Lim, MD
• Cynthia Marie Long, RPH
• Jeana M Luther
• Richard E. Lynn, MD
• M. Munir Zaitoon, M.D., F.a.C.S.
• Rajni Madaan, MD
• Main Street Medical Associates P C

• Dentist in Mount Pleasant, PA
• Providers in Mount Pleasant, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.