Active NPI
Marian T Lucero, DDS
- Dentist
- Socorro, NM
National Provider Identifier
1891968541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- NM 1552
- Practice address
- 824 Highway 60
Socorro, NM 87801-3919 - Phone
- (575) 835-2342
- Fax
- (575) 835-2207
- NPI assigned
- Apr 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NM 1552 | NM | Primary |
Addresses
Primary practice location
824 Highway 60
Socorro, NM 87801-3919
Mailing address
824 Highway 60
PO Box 124
Socorro, NM 87801-3919
Phone (575) 835-2342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NM 1552 | NM | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring Dental Center PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Socorro, NM
- NPI 1164541272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1891968541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 HIGHWAY 60",
"address_2": "PO BOX 124",
"city": "SOCORRO",
"state": "NM",
"postal_code": "878013919",
"telephone_number": "575-835-2342",
"fax_number": "575-835-2207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 HIGHWAY 60",
"city": "SOCORRO",
"state": "NM",
"postal_code": "878013919",
"telephone_number": "575-835-2342",
"fax_number": "575-835-2207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCERO",
"first_name": "MARIAN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-02",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "NM 1552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Socorro, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.