Individual provider Active NPI

Matthew Anthony Lucero, DMD

  • Pediatric Dentistry
  • Aurora, CO
National Provider Identifier
1306158886
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
26463 Issued in TX
Practice address
14991 E Hampden Ave Ste 370
Aurora, CO 80014-3996
Phone
(775) 225-1991
NPI assigned
Jul 13, 2010
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 204721 CO
General Practice Dentistry 1223G0001X 26463 TX
Pediatric Dentistry 1223P0221X D1531 SD
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 26463 TX Primary

Addresses

Primary practice location

14991 E Hampden Ave Ste 370
Aurora, CO 80014-3996

Mailing address

1217 W Slaughter LN Ste 140
Austin, TX 78748-6916
Phone (512) 643-8900

Other practice location 1

3305 S Lincoln Ave
Sioux Falls, SD 57105-5224
Phone (605) 215-1181

Other practice location 2

8706 Fredericksburg Rd Ste 104
San Antonio, TX 78240-1293
Phone (210) 714-2488

Other practice location 3

10170 Church Ranch Way Unit 110
Westminster, CO 80021-6059
Phone (720) 330-5571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26463TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Sedation Dentistry of Colorado PLLC Pediatric Dentistry CurrentSince Dec 1, 2019 Accepting new patients
Pediatric Sedation Dentistry of Colorado PLLC Pediatric Dentistry Current Accepting new patients
Pediatric Sedation Dentistry of Colorado PLLC Pediatric Dentistry Current Accepting new patients

Locations

14991 E Hampden Ave
Ste 370
Aurora, CO 80014
Phone (303) 693-1215

1217 W Slaughter Ln
Ste 140
Austin, TX 78748
Phone (512) 523-4774

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1306158886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 W SLAUGHTER LN STE 140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486916",
            "telephone_number": "512-643-8900",
            "fax_number": "512-643-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14991 E HAMPDEN AVE STE 370",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143996",
            "telephone_number": "775-225-1991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3305 S Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571055224",
            "country_code": "US",
            "telephone_number": "605-215-1181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8706 Fredericksburg Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782401293",
            "country_code": "US",
            "telephone_number": "210-714-2488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10170 Church Ranch Way Unit 110",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800216059",
            "country_code": "US",
            "telephone_number": "720-330-5571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "MATTHEW",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-13",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "204721",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26463",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SD",
            "license": "D1531",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "26463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; 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.