Active NPI
Alexia Roxanne Lucero, D.D.S.
- Dentist
- Sunnyvale, CA
National Provider Identifier
1386747384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40374
- Practice address
- 516 W Remington Dr
Suite 4C
Sunnyvale, CA 94087-2470 - Phone
- (408) 738-0803
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 40374 | CA | Primary |
Addresses
Primary practice location
516 W Remington Dr
Suite 4C
Sunnyvale, CA 94087-2470
Mailing address
516 W Remington Dr
Suite 4C
Sunnyvale, CA 94087-2470
Phone (408) 738-0803
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40374 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386747384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 W REMINGTON DR",
"address_2": "SUITE 4C",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940872470",
"telephone_number": "408-738-0803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 W REMINGTON DR",
"address_2": "SUITE 4C",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940872470",
"telephone_number": "408-738-0803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCERO",
"first_name": "ALEXIA",
"middle_name": "ROXANNE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "40374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.