Dr. Tatiana Lucas, DDS Family Dentistry, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR. TATIANA LUCAS, DDS FAMILY DENTISTRY, PLLC

Doing business as

Prime Dental

Practice address

272 Cross Roads PLZ
Mount Pleasant, PA 15666-2288

Phone

(724) 547-0690

NPI assigned

Jul 27, 2017

Last updated

Jun 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tatiana O Lucas, DDSNPI 1114473576

Title

Dentist Owner

Phone

(724) 547-0690

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prime Dental Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tatiana O Lucas, DDS

  • Dentist
  • Mt Pleasant, PA
  • NPI 1114473576
  Medicare reassignment NPD Authorized official
• Robert J Foster

  • General Practice Dentistry
  • Mt Pleasant, PA
  • NPI 1215019906
  NPD (past)

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1467976878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 CROSSROADS PLZ UNIT 4",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156662288",
            "telephone_number": "724-547-0690",
            "fax_number": "724-547-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 CROSS ROADS PLZ",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156662288",
            "telephone_number": "724-547-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TATIANA LUCAS, DDS FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "724-547-0690",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033533390001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Praful V Desai, M.D.
• Dialysis Clinic Inc.
• Diana Lynn Gummo CRNP LLC
• Marlena Dinger, DPT
• Stacey Ann Dodson
• Susan Dumas, LPN
• Efren Leonida MD LLC
• Benfauzi El-Attrache
• Kelly M Emerson, CRNP
• Hannah Erdely, CRNP

• Dental Clinic/Center in Mt Pleasant, PA
• Providers in Mt Pleasant, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.