Lucid Dental PA

Primary specialty

DentistTaxonomy code 122300000X

License

23428 Issued in TX

Legal business name

LUCID DENTAL PA

Practice address

8435 Wurzbach Rd Ste 302
San Antonio, TX 78229-3374

Phone

(210) 899-6730

Fax

(833) 776-0625

NPI assigned

Feb 21, 2010

Organization subpart

No

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

Authorized official

Name

Tiffini Stratton, DDSNPI 1710163209

Title

Owner

Phone

(210) 269-3195

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Lucid Dental PA

  • Customized Equipment (DME)
  • Kerrville, TX
  • NPI 1811510845

  4880927839

  Same PAC ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffini Stratton, DDS

  • General Practice Dentistry
  • Kerrville, TX
  • NPI 1710163209
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1266710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1811219637",
    "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": "8435 WURZBACH RD STE 302",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293374",
            "telephone_number": "210-899-6730",
            "fax_number": "833-776-0625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2105 Sidney Baker St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kerrville",
            "state": "TX",
            "postal_code": "780282563",
            "country_code": "US",
            "telephone_number": "210-899-6730",
            "fax_number": "833-776-0625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUCID DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-21",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "STRATTON",
        "authorized_official_first_name": "TIFFINI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-269-3195",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "23428",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucent 410 Sa PLLC
• April Lucero, RN
• Jeremiah Isaac Lucero, LPC
• Luis Lucero, FNP-BC
• Allen Luciano, RN
• Lucidity of San Antonio PLLC
• Lucille Miller
• Lucina B Trevino M.D.
• Dante Eliazar Lucio, FNP
• Diane G Lucio, RPSGT

• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.