Martha R. Lucero, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35947 Issued in CA

Practice address

12833 Harbor Blvd
Suite F-3
Garden Grove, CA 92840-5806

Phone

(714) 534-9480

NPI assigned

Jul 3, 2008

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1861655417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12833 HARBOR BLVD",
            "address_2": "SUITE F-3",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405806",
            "telephone_number": "714-534-9480",
            "fax_number": "714-534-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12833 HARBOR BLVD",
            "address_2": "SUITE F-3",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405806",
            "telephone_number": "714-534-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "MARTHA",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "35947",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joana Lucas Rodriguez
• Karen Lucas
• Minnie R Lucas
• Lucero Dental Clinic
• Aubry Lucero
• Evelyn Lucho
• Georgette Luciano
• Alyanna Louise D. Lugay
• Tiffany Lui
• Brandon Lum

• General Practice Dentistry in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.