DR. MATTHEW ANTHONY LUCERO (NPI# 1306158886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306158886 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW ANTHONY LUCERO |
| Credential | DMD |
| Practice Address |
1217 W Slaughter Ln Ste 140 Austin TX 78748-6916 |
| Practice Telephone | 5126438900 |
| Practice Fax Number | 5126438900 |
| Mailing Telephone | 5126438900 |
| Mailing Fax Number | 5126438900 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2019-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
26463 | TX | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
26463 | TX | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8706 Fredericksburg Rd Ste 104, San Antonio, TX 782401293 | 2107142488 | |
| 2730 Sw Moody Ave, Portland, OR 972015042 | 5034948867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821060344 | Matthew W Lucero | Specialist | 15754 N Bullard Ave, Surprise, AZ 85374-8839 | 2006-02-07 |
| 1932724416 | Matthew Lucero | Community Health Worker | 1269 S 2nd St, Raton, NM 87740-2234 | 2020-06-10 |
| 1972941334 | Matthew Lucero | Internal Medicine | 4053 Lone Tree Way, Suite 101, Antioch, CA 94531-6210 | 2013-06-07 |
| Street Address |
1217 W SLAUGHTER LN STE 140 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78748-6916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043873854 | Atx Pedo Pllc | Dentist | 1217 W Slaughter Ln Ste 140, Austin, TX 78748-6577 | 2019-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073090395 | Dejuan Lewis | Specialist/Technologist | 11301 Farrah Lane, Apt 837, Austin, TX 78748 | 2018-07-20 |
| 1588153340 | Zoe Finch Cameron | Registered Nurse | 906 Kavanagh Dr, Austin, TX 78748 | 2018-05-08 |
| 1194231753 | Embark Home Care | In Home Supportive Care | 2316 Christoff Loop, Austin, TX 78748 | 2017-12-19 |
| 1952815854 | Swish Dental Brodie PC | Clinic/Center | 8916 Brodie Ln, Suite 400, Austin, TX 78748 | 2017-11-30 |
| 1700332921 | National Vision, Inc. | Technician/Technologist | 9500 I-35, Suite J-100, Austin, TX 78748 | 2016-08-28 |
| 1770036212 | Van-anh Huynh | Optometrist | 9500 Interstate 35, Suite J-100, Austin, TX 78748 | 2016-08-02 |
| 1275907263 | Paul Abram Shrogin | Chiropractor | 9701 Brodie Ln Ste 202, Austin, TX 78748 | 2015-11-14 |
| 1790161743 | Matthew Graham Margrett | Pharmacist | 9500 S Ih 35 Frontage Rd, Austin, TX 78748 | 2015-07-31 |
| 1528443660 | Austin Five Star Er, P.a. | Emergency Medicine | 8721 Manchaca Road, Austin, TX 78748 | 2015-07-29 |
| 1710362983 | 512 Eye, Pllc | Optometrist | 11200 Manchaca Road, Building 4 Suite 2, Austin, TX 78748 | 2015-07-29 |
| Find all providers in zip 78748 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558832972 | Belterra Kids Teeth | Dentist | 165 Hargraves Dr Ste M100, Austin, TX 78737-4810 | 2018-12-11 |
| 1073051413 | Bash Braker LLC | Dentist | 1139 W Braker Ln, Ste 201, Austin, TX 78758 | 2017-02-06 |
| 1336519313 | Longhorn Pediatric Dentistry and Orthodontics | Dentist | 4638 W Gate Blvd, Austin, TX 78745-1461 | 2015-10-02 |
| 1659749810 | Specialty Dental Partners of Austin Pllc | Dentist | 4308 N Quinlan Park Rd Ste 201, Austin, TX 78732-6071 | 2015-09-04 |
| 1003202060 | Jared Poplin D.m.d., Pllc | Dentist | 6850 Austin Center Blvd Ste 220, Austin, TX 78731-3131 | 2015-04-07 |
| 1679964787 | Alexander Y Shau | Dentist | 13616 N Hwy 183 Unit A, Austin, TX 78750-2312 | 2015-02-10 |
| 1972902427 | Green Apple Pediatric Dentistry, Pllc | Dentist | 11601 Us Hwy 290 West, Suite 105, Austin, TX 78737 | 2014-08-21 |
| 1902216989 | Kyle Raymond Pa | Dentist | 5656 Bee Caves Rd Ste B104, Austin, TX 78746 | 2014-04-30 |
| 1447595855 | Rock That Smile Pediatric Dentistry Pllc | Dentist | 14005 N. Hwy 183, #800, Austin, TX 78717 | 2012-12-11 |
| 1215280557 | North Austin Pediatric Dental, Pllc | Dentist | 8716 Research Blvd # 125, Austin, TX 78758-6420 | 2012-10-24 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.