Individual provider Active NPI

Joseph Lucero, D.D.S.

  • Prosthodontics
  • Lafayette, CO
National Provider Identifier
1427465178
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
00203172 Issued in CO
Practice address
2575 Park LN
101
Lafayette, CO 80026-3336
Phone
(303) 834-0615
Fax
(303) 284-5579
NPI assigned
Jul 15, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X D13460 MN
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 00203172 CO Primary

Addresses

Primary practice location

2575 Park LN
101
Lafayette, CO 80026-3336

Mailing address

2575 Park LN Ste 101
Lafayette, CO 80026-3336
Phone (303) 834-0615

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
00203172COMDProsthodontist
D13460MNMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph a. Lucero D.D.S. Inc. Prosthodontics CurrentSince Jul 1, 2022 Accepting new patients

Locations

2575 Park Ln
Ste 101
Lafayette, CO 80026
Phone (303) 834-0615

10 Rupert St
Monte Vista, CO 81144
Phone (719) 852-2552

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1427465178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 PARK LN STE 101",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263336",
            "telephone_number": "303-834-0615",
            "fax_number": "303-284-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 PARK LN",
            "address_2": "101",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263336",
            "telephone_number": "303-834-0615",
            "fax_number": "303-284-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-15",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MN",
            "license": "D13460",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CO",
            "license": "00203172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.