Austen Lucena Joseph Lucena

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

111444 Issued in CA

Practice address

2310 E Bidwell St Ste 150
Folsom, CA 95630-3586

Phone

(916) 983-7700

Fax

(916) 983-7981

NPI assigned

Jan 6, 2025

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Creekside Endodontics, a Young Dental Group, Inc.

  • Endodontics
  • Folsom, CA
  • NPI 1588047120

  Single Specialty

  NPD
• David Koehn D. D. S. Inc.

  • Endodontics
  • El Dorado Hills, CA
  • NPI 1558548495

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1114736014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9339 LA ROSE CT",
            "city": "DURHAM",
            "state": "CA",
            "postal_code": "959389529",
            "telephone_number": "530-520-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 E BIDWELL ST STE 150",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303586",
            "telephone_number": "916-983-7700",
            "fax_number": "916-983-7981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770542032",
            "country_code": "US",
            "telephone_number": "530-520-5025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1158 Suncast Ln Ste 1",
            "address_purpose": "LOCATION",
            "city": "El Dorado Hills",
            "state": "CA",
            "postal_code": "957629326",
            "country_code": "US",
            "telephone_number": "916-941-9888",
            "fax_number": "916-358-5638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1635 Creekside Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956303830",
            "country_code": "US",
            "telephone_number": "916-983-3423",
            "fax_number": "916-983-5079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCENA",
        "first_name": "AUSTEN LUCENA",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "111444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asia Lowden
• Jennifer Leigh Lowe
• Kaitlyn Lowey, MSN, FNP-C
• Alana Lozada
• Robert M Lucas, M.D.
• Kyle Lucke
• Lucky Stores II LLC
• Thomas Nelson Ludlow, DDS
• Lesley Ludwig
• Phil M Lugo, MD

• Periodontics in Folsom, CA
• Providers in Folsom, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.