Lucero Dental Clinic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35947 Issued in CA

Legal business name

LUCERO DENTAL CLINIC

Practice address

2740 S Bristol St
Suite 206
Santa Ana, CA 92704-6209

Phone

(714) 557-0201

Fax

(714) 557-0722

NPI assigned

Mar 2, 2007

Last updated

Aug 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Martha R Lucero Perez, DDS

Title

Owner

Phone

(714) 534-9480

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Priscilla Andressa Cury Rosa, DDS

  • Dentist
  • Anaheim, CA
  • NPI 1306323324
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1891824405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 S BRISTOL ST",
            "address_2": "SUITE 206",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046209",
            "telephone_number": "714-557-0201",
            "fax_number": "714-557-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 S BRISTOL ST",
            "address_2": "SUITE 206",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046209",
            "telephone_number": "714-557-0201",
            "fax_number": "714-557-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCERO DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "LUCERO PEREZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-534-9480",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hsiu Min Lu
• Jennifer Lu
• Ming-Lung Lu, NP
• Trang Mythi Luc, D.O.
• Marshawn William Lucas Sr.
• Stephanie Lucero
• Mariah Lucio
• Jaime Ludmir, M.D
• Ludumes, Inc.
• Gianina Ludusan, RN,BSN,PHN

• General Practice Dentistry in Santa Ana, CA
• Providers in Santa Ana, 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 Aug 26, 2008; 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.