Active NPI
Luciano Retana, DDS MS
- Prosthodontics
- Boulder, CO
National Provider Identifier
1922606870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DEN.00205944
- Practice address
- 2525 Arapahoe Ave Unit B1
Boulder, CO 80302-6723 - Phone
- (303) 442-1600
- NPI assigned
- Oct 13, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 36731 | TX | |
| Prosthodontics | 1223P0700X | DEN.00205944 | CO | Primary |
Addresses
Primary practice location
2525 Arapahoe Ave Unit B1
Boulder, CO 80302-6723
Mailing address
1940 Tincup CT
Boulder, CO 80305-7147
Phone (504) 638-5896
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00205944 | CO | MD | Prosthodontist |
| 36731 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| N.E. Dentistry PLLC | Past | Accepting new patients | |
| Radiance Dentistry | Prosthodontics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Irving, TX
- NPI 1023749447
-
- Prosthodontics
- Irving, TX
- NPI 1902105711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1922606870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 TINCUP CT",
"city": "BOULDER",
"state": "CO",
"postal_code": "803057147",
"telephone_number": "504-638-5896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 ARAPAHOE AVE UNIT B1",
"city": "BOULDER",
"state": "CO",
"postal_code": "803026723",
"telephone_number": "303-442-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETANA",
"first_name": "LUCIANO",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-13",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "TX",
"license": "36731",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CO",
"license": "DEN.00205944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.