Individual provider Active NPI

Luciano Retana, DDS MS

  • Prosthodontics
  • Boulder, CO
National Provider Identifier
1922606870
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DEN.00205944 Issued in CO
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

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DEN.00205944COMDProsthodontist
36731TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
N.E. Dentistry PLLC PastSince Jun 21, 2022 Accepting new patients
Radiance Dentistry Prosthodontics PastSince Nov 27, 2022 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.

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.

Verify at the official NPI Registry.