James Patrick Lucero, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60296 Issued in KS

Practice address

1812 E Mary St
Garden City, KS 67846-3652

Phone

(620) 275-4782

Fax

(620) 275-1413

NPI assigned

Jun 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Morningstar Family Dental,P.a.

  • General Practice Dentistry
  • Overland Park, KS
  • NPI 1033269436
  NPD (past) Authorized official
• Jeffrey J Stasch

  • Customized Equipment (DME)
  • Garden City, KS
  • NPI 1619416120
  NPD (past)
• Julianna Ervin DDS

  • Dental Clinic/Center
  • Leawood, KS
  • NPI 1699541052
  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1750386025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 E MARY ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678463652",
            "telephone_number": "620-275-4782",
            "fax_number": "620-275-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 E MARY ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678463652",
            "telephone_number": "620-275-4782",
            "fax_number": "620-275-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soen Boen Liong, M.D.
• Living at Home LLC
• George Maring Longa
• Yvette Lopez
• Yufei Lu, DPT
• Diane M Madsen, CRMA
• Erma R Magie, AAPS
• Esmeralda Main, LPC
• Jay D Main, D.D.S.
• Mahmud Ul Majeed, MD

• General Practice Dentistry in Garden City, KS
• Providers in Garden City, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.

Verify at the official NPI Registry.