Lucid Dental PA

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

LUCID DENTAL PA

Practice address

2105 Sidney Baker St Ste 200
Kerrville, TX 78028-2563

Phone

(210) 899-6730

Fax

(833) 776-0625

NPI assigned

May 26, 2020

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 TX

Enrollment records 1

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

  • Dentist
  • San Antonio, TX
  • NPI 1811219637

  4880927839

  Same PAC ID

Part of

Lucid Dental PA

Locations

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
  NPD Authorized official

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1811510845",
    "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": "2105 SIDNEY BAKER ST STE 200",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780282563",
            "telephone_number": "210-899-6730",
            "fax_number": "833-776-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCID DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "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": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Loup, LPC
• Patrick Reidy Lower
• Ashley Ann Lozano, LVN
• Jon Daniel Lozano
• Melissa Castillo Lozano, CNM
• Lucid Sleep Doctors, PLLC
• Luck Enterprises LLC
• Crystal Sue Luketich, RN
• Lisa Luna
• Julie H Lunsford, NP

• Customized Equipment (DME) in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.