Active NPI
Mark Stephen Lucier, DMD
- Dentist
- Kennewick, WA
National Provider Identifier
1740352335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEFC.DF.70142969
- Practice address
- 6351 W Rio Grande Ave
Kennewick, WA 99336-7634 - Phone
- (509) 579-5830
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DEN-DEN-LIC-28425 | MT | |
| Pediatric Dentistry | 1223P0221X | DEFC.DF.70142969 | WA | |
| Pediatric Dentistry | 1223P0221X | 3822 | ME | |
| Pediatric Dentistry | 1223P0221X | 20821 | MA | |
| Dentist | 122300000X | DEFC.DF.70142969 | WA | Primary |
| Pediatric Dentistry | 1223P0221X | 2882 | RI |
Addresses
Primary practice location
6351 W Rio Grande Ave
Kennewick, WA 99336-7634
Mailing address
PO Box 190
Toppenish, WA 98948-0190
Phone (509) 865-2395
Other practice location 1
3020 S Reserve St Ste D
Missoula, MT 59801-7652
Phone (065) 417-3374
Other practice location 2
200 W Railroad Ave
Plains, MT 59859-7763
Phone (406) 215-4705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3822 | ME | MD | Pediatric Dentist |
| DEN-DEN-LIC-28425 | MT | MD | Pediatric Dentist |
| 2882 | RI | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt West Dentist PLLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Plains, MT
- NPI 1407424179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1740352335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "TOPPENISH",
"state": "WA",
"postal_code": "989480190",
"telephone_number": "509-865-2395",
"fax_number": "509-865-0757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6351 W RIO GRANDE AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367634",
"telephone_number": "509-579-5830"
}
],
"practiceLocations": [
{
"address_1": "3020 S Reserve St Ste D",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598017652",
"country_code": "US",
"telephone_number": "065-417-3374",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 W Railroad Ave",
"address_purpose": "LOCATION",
"city": "Plains",
"state": "MT",
"postal_code": "598597763",
"country_code": "US",
"telephone_number": "406-215-4705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCIER",
"first_name": "MARK",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MT",
"license": "DEN-DEN-LIC-28425",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "DEFC.DF.70142969",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "ME",
"license": "3822",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MA",
"license": "20821",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DEFC.DF.70142969",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "RI",
"license": "2882",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.