Pediatric Sedation Dentistry of Colorado PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC SEDATION DENTISTRY OF COLORADO PLLC

Practice address

3305 S Lincoln Ave
Sioux Falls, SD 57105-5224

Phone

(720) 828-2106

NPI assigned

Mar 26, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Lucero, DMDNPI 1306158886

Title

Owner

Phone

(720) 828-2106

Specialties & licenses 1

Addresses

Tax ID family

Pediatric Sedation Dentistry of Colorado2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Sedation Dentistry of Colorado PLLC

  • Pediatric Dentistry
  • Aurora, CO
  • NPI 1669150066
  NPD tax ID

Locations

Practitioners 1

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

• Matthew Anthony Lucero, DMD

  • Pediatric Dentistry
  • Aurora, CO
  • NPI 1306158886
  NPD Authorized official

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1841040243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 ELIOT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802114111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 S LINCOLN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055224",
            "telephone_number": "720-828-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SEDATION DENTISTRY OF COLORADO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "LUCERO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-828-2106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalli Pederson, RDN, LN, CDE
• Kim Pederson, M.D.
• Pediatric Dentistry, Inc.
• Pediatric Hematology Clinic LTD
• Pediatric Hematology Oncology Pharmacy LTC
• Pediatric Surgical Associates PC
• Elisa Pedone
• Sharon A Peer, LN
• Hillary Ayn Peirce, PA-C
• Michael Wayne Pekas

• Pediatric Dentistry in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Pediatric Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.