LUCID DENTAL, P.A. (NPI# 1811219637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811219637 |
| Entity Type | Organization |
| Organization Name | LUCID DENTAL, P.A. |
| Practice Address |
414 W Sunset Rd Ste 201 San Antonio TX 78209-1771 |
| Practice Telephone | 2108996730 |
| Practice Fax Number | 2108287756 |
| Mailing Telephone | 2108996730 |
| Mailing Fax Number | 2018287756 |
| Enumeration Date | 2010-02-21 |
| Last Update Date | 2019-02-27 |
| Authorized Official Name | DR. TIFFINI STRATTON (OWNER) |
| Authorized Official Telephone | 2108996730 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 23428 | TX | Dental Providers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
414 W SUNSET RD STE 201 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78209-1771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578007738 | Jeremy Cruz | Counselor | 414 W Sunset Rd Ste 201, San Antonio, TX 78209-1771 | 2016-12-07 |
| 1093162067 | Ami Bhatt | Psychologist | 414 W Sunset Rd Ste 201, San Antonio, TX 78209-1771 | 2016-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
| 1265086045 | Westlake Dermatology, Pa | Dermatology | 5500 Broadway Ave, Alamo Heights, TX 78209 | 2019-07-30 |
| 1194207530 | Arthur Davies | Licensed Vocational Nurse | 8700 Crownhill Blvd #300, San Antonio, TX 78209 | 2018-09-01 |
| 1538649462 | Jessica Michelle Moore | Licensed Vocational Nurse | 8400 Crown Hill Blvd, San Antonio, TX 78209 | 2018-08-20 |
| 1871072645 | Olawunmi Olapeju Odele | Licensed Vocational Nurse | 8700 Crownhill Blvd. Ste.300, San Antonio, TX 78209 | 2018-08-12 |
| 1265921126 | Ashley L Garcia | Physician Assistant | 414 W Sunset Rd Ste 205, San Antonio, TX 78209 | 2018-05-07 |
| 1083117428 | New Choices Treatment Center LLC | Substance Abuse Rehabilitation Facility | 3050 Eisenhauer Rd Apt 501, San Antonio, TX 78209 | 2018-03-12 |
| 1629570106 | Julieta Rubio Hobbs | Counselor | 4301 Broadway St. 438, San Antonio, TX 78209 | 2018-03-01 |
| 1326550187 | Shannon Lee Crowley | Occupational Therapy Assistant | 403 Irvington Dr, San Antonio, TX 78209 | 2017-11-01 |
| 1932627007 | Juanita De Luna Salazar | Physical Therapist | 1635 Ne Interstate 410 Loop, #600, San Antonio, TX 78209 | 2017-09-08 |
| Find all providers in zip 78209 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771407 | Mediplus Services, LLC | Durable Medical Equipment & Medical Supplies | 402 Wild Olive Trl, San Antonio, TX 78256-1628 | 2020-08-20 |
| 1114542750 | Hair Again Certified Hairloss Specialist | Durable Medical Equipment & Medical Supplies | 10615 Perrin Beitel Rd Ste 402, San Antonio, TX 78217-3141 | 2020-06-09 |
| 1134741432 | Diabetes Specialty Supply | Durable Medical Equipment & Medical Supplies | 12042 Blanco Rd Ste 325, San Antonio, TX 78216-5440 | 2020-05-11 |
| 1881215572 | Brooke Strachan | Durable Medical Equipment & Medical Supplies | 4900 Broadway St Ste 700, San Antonio, TX 78209-5739 | 2020-05-04 |
| 1548899669 | Total-care Dme LLC | Durable Medical Equipment & Medical Supplies | 5405 Bandera Rd Ste 117, San Antonio, TX 78238-1949 | 2020-04-02 |
| 1053949156 | Ambulatory Strategies Physician Group | Durable Medical Equipment & Medical Supplies | 11823 Culebra Rd Ste 105, San Antonio, TX 78253-4563 | 2020-04-01 |
| 1881230423 | Bhs Physicians Network, Inc | Durable Medical Equipment & Medical Supplies | 18707 Hardy Oak Blvd Ste 415, San Antonio, TX 78258-4841 | 2019-11-19 |
| 1841834207 | One Home Medical Equipment Tx LLC | Durable Medical Equipment & Medical Supplies | 1130 Arion Pkwy, San Antonio, TX 78216-2871 | 2019-10-29 |
| 1558904094 | Kalos Health Services LLC | Durable Medical Equipment & Medical Supplies | 18745 Goll St Ste 301, San Antonio, TX 78266-2367 | 2019-10-28 |
| 1144862947 | Xeras Medical Technologies, Inc. | Durable Medical Equipment & Medical Supplies | 315 E. Commerce Street Suite 203, San Antonio, TX 78205 | 2019-10-13 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78209 |
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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.