MARY ANN LUCERO DDS
NPI 1174500755
Dentist in Albuquerque, NM

Active since December 27, 2005PECOS Enrolled
2201 LOUISIANA BLVD, STE D, ALBUQUERQUE, NM 87110(505) 883-4867(505) 883-4007 Get Directions Write a Review

NPPES record last updated: June 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Ann Lucero Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ANN LUCERO DDS (NPI 1174500755) is an individual dentist in Albuquerque, New Mexico, licensed in New Mexico (DD1879) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174500755
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMARY ANN LUCEROCredential: DDS
Location Address2201 LOUISIANA BLVD, STE DAlbuquerque, NM 87110
Mailing Address2201 Louisiana Blvd Ne, Ste DAlbuquerque, NM 87110-4546 · (505) 883-4867 · Fax (505) 883-4007
Fax(505) 883-4007
Sole ProprietorNo
Enumeration DateDecember 27, 2005
Last NPPES UpdateJune 6, 2013
NPI 1174500755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NM · DD1879
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2201 LOUISIANA BLVD, Albuquerque, NM 87110

Other Identifiers 1

OtherDD1879NM · Dental License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mary Ann Lucero Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ann Lucero's NPI number?

The NPI number for Mary Ann Lucero is 1174500755. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Mary Ann Lucero located?

Mary Ann Lucero practices at 2201 Louisiana Blvd Ste D, Albuquerque, NM 87110. The listed phone number is (505) 883-4867.

What is Mary Ann Lucero's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mary Ann Lucero enrolled in Medicare?

Yes. Mary Ann Lucero is registered in the Medicare PECOS enrollment system.

What insurance does Mary Ann Lucero accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 1 other insurer list Mary Ann Lucero as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Ann Lucero was last updated on June 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.