Lucas Marzullo Mendes, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

42145 Issued in TX

Practice address

5201 Bosque Blvd Ste 200
Waco, TX 76710-4676

Phone

(254) 261-6363

NPI assigned

Sep 17, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1750252136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 BOSQUE BLVD STE 200",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104676",
            "telephone_number": "254-261-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 BOSQUE BLVD STE 200",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104676",
            "telephone_number": "254-261-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZULLO MENDES",
        "first_name": "LUCAS",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-17",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "42145",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401419719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lianda Mirella Martinez
• Lou Henry Martinez, OD
• Mario Anthony Martinez, MD
• Mercedes Martinez, PH.D.
• Roberto M Martinez, SLP
• Masaki Oishi, M.D., P.a.
• Josephine Masok
• James Wilcox Mason, MD
• Kaitlyn Jo Massingill, MSN, APRN, FNP-C
• Lindsay Mastin, CF-SLP

• Orthodontics and Dentofacial Orthopedics Dentistry in Waco, TX
• Providers in Waco, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.