Matthew Anthony Lucero, DMD

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

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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.

• Pediatric Sedation Dentistry of Colorado PLLC

  • Pediatric Dentistry
  • Aurora, CO
  • NPI 1669150066
  NPD Authorized official
• Pediatric Sedation Dentistry of Colorado PLLC

  • Pediatric Dentistry
  • Sioux Falls, SD
  • NPI 1841040243
  NPD Authorized official
• Atx Pedo PLLC

  • Pediatric Dentistry
  • Austin, TX
  • NPI 1043873854
  NPD

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "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": "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"
        },
        {
            "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"
        }
    ],
    "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": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26463",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "26463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter David Luce, M.D.
• Abigail Lucero
• Aundria Lucero
• Jessica Lucero, LMT
• Leeann Y Lucero, RN
• Megan Corina Lucero, MD
• Xavier Lucero
• Paula M Luchetta-Plambeck
• Marshall Scott Lucia, MD
• Lucinda Ann Lewis DDS, PC

• Pediatric Dentistry in Aurora, CO
• Providers in Aurora, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.