Jacquelyn Luera, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28112 Issued in TX

Practice address

11601 Pellicano Dr Ste A4
El Paso, TX 79936-6054

Phone

(915) 594-4048

Fax

(915) 594-9854

NPI assigned

Jul 17, 2012

Last updated

Jun 13, 2024By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Star Mountain Family Dental PLLC

  • General Practice Dentistry
  • El Paso, TX
  • NPI 1164074829
  NPD Authorized official
• TX Southern Dental PPO PC

  dba Stein Dentistry

  • Dentist
  • El Paso, TX
  • NPI 1558131938
  NPD (past)

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1225383128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 PELLICANO DR STE A4",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366054",
            "telephone_number": "915-594-4048",
            "fax_number": "915-594-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 PELLICANO DR STE A4",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366054",
            "telephone_number": "915-594-4048",
            "fax_number": "915-594-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUERA",
        "first_name": "JACQUELYN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28112",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Lucio
• Karen Natali Lucio
• Julian Kenneth Lucius, DDS
• Joseph Lucker, MD
• Margarita E Luedtke, MSW, LCSW
• Joselyn Luevano, RN
• Jude Luevano
• Molly Diane Luevanos, LPC
• Manuela Elizabeth Lugo Munoz, LPC
• Nancy Lugo Salas, MSCCCSLP

• General Practice Dentistry in El Paso, TX
• Providers in El Paso, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.