Individual provider Active NPI

Tiffini Stratton, DDS

  • General Practice Dentistry
  • Kerrville, TX
National Provider Identifier
1710163209
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23428 Issued in TX
Practice address
2105 Sidney Baker St Ste 200
Kerrville, TX 78028-2563
Phone
(210) 899-6730
Fax
(833) 776-0625
NPI assigned
Jan 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23428 TX Primary
Dentist 122300000X 23428 TX

Addresses

Primary practice location

2105 Sidney Baker St Ste 200
Kerrville, TX 78028-2563

Mailing address

8435 Wurzbach Rd Ste 302
San Antonio, TX 78229-3374
Phone (210) 899-6730

Other practice location 1

8435 Wurzbach Rd Ste 302
San Antonio, TX 78229-3374
Phone (210) 899-6730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190606002861 TX Practitioner - DentistPractitioner - Pain ManagementPractitioner - Sleep Medicine 7911248729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DentistAlso: Pain Management, Sleep Medicine
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2105 Sidney Baker St
Suite 200
Kerrville, TX 78028-2563
Phone (210) 889-6730

8435 Wurzbach Rd
Suite 302
San Antonio, TX 78229-3374
Phone (210) 899-6730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lucid Dental PA Dentist CurrentSince Jan 29, 2019 Accepting new patients
Lucid Sleep Doctors, PLLC Current Accepting new patients
Lucid Dental PA General Practice CurrentSince Jan 29, 2019 Accepting new patients

Locations

2105 Sidney Baker St
Ste 200
Kerrville, TX 78028
Phone (210) 889-6730

414 W Sunset Rd
Ste 201
San Antonio, TX 78209
Phone (210) 858-1900

8435 Wurzbach Rd
Ste 302
San Antonio, TX 78229
Phone (210) 899-6730

414 W Sunset Rd
Ste 210
San Antonio, TX 78209
Phone (210) 255-8447

Interoperability endpoints

  • Direct secure messaging: luciddentalpa.tiffinistratton@150847.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1710163209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8435 WURZBACH RD STE 302",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293374",
            "telephone_number": "210-899-6730",
            "fax_number": "833-776-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 SIDNEY BAKER ST STE 200",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780282563",
            "telephone_number": "210-899-6730",
            "fax_number": "833-776-0625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8435 Wurzbach Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293374",
            "country_code": "US",
            "telephone_number": "210-899-6730",
            "fax_number": "833-776-0625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRATTON",
        "first_name": "TIFFINI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23428",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23428",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.