Active NPI
Maricarmen Lucio
- Dental Assistant
- Thornton, CO
National Provider Identifier
1730842857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- Practice address
- 1882 E 104TH Ave Unit 515
Thornton, CO 80233-4326 - Phone
- (720) 490-9841
- NPI assigned
- Oct 15, 2021
- 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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | Primary |
Addresses
Primary practice location
1882 E 104TH Ave Unit 515
Thornton, CO 80233-4326
Mailing address
1882 E 104TH Ave Unit 515
Thornton, CO 80233-4326
Phone (720) 490-9841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42996141 | Other | TX | DL NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Thornton |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1730842857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1882 E 104TH AVE UNIT 515",
"city": "THORNTON",
"state": "CO",
"postal_code": "802334326",
"telephone_number": "720-490-9841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1882 E 104TH AVE UNIT 515",
"city": "THORNTON",
"state": "CO",
"postal_code": "802334326",
"telephone_number": "720-490-9841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCIO",
"first_name": "MARICARMEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-15",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dental Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DL NUMBER",
"identifier": "42996141",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Thornton",
"affiliation": "N",
"address_1": "1882 E 104th Ave Unit 515",
"city": "Thornton",
"state": "CO",
"country_code": "US",
"postal_code": "802334326",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.