LUCID DENTAL PA
NPI 1811219637
Dentist in San Antonio, TX
About Lucid Dental Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUCID DENTAL PA (NPI 1811219637) is a healthcare organization registered as a dentist in San Antonio, Texas and active in the NPI registry since February 2010. The organization maintains a secondary practice location in Kerrville and lists Tiffini Stratton, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lucid Dental Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lucid Dental PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lucid Dental PA's NPI number?
The NPI number for Lucid Dental PA is 1811219637. It was assigned to this organization in the NPPES registry on February 21, 2010.
Where is Lucid Dental PA located?
Lucid Dental PA is located at 8435 Wurzbach Rd Ste 302, San Antonio, TX 78229. The listed phone number is (210) 899-6730.
What is Lucid Dental PA's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Lucid Dental PA enrolled in Medicare?
Yes. Lucid Dental PA is registered in the Medicare PECOS enrollment system.
When is Lucid Dental PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Texas, Oral Surgery - Dentist) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Lucid Dental PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Lucid Dental PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lucid Dental PA was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Lucid Dental Pa · NPI 1811219637
Dentist organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since February 21, 2010.
## Identity
- **NPI:** 1811219637 (Entity type: Organization)
- **Enumerated:** February 21, 2010
- **Primary specialty:** Dentist · taxonomy 122300000X
- **Organization subpart:** No
- **Authorized official:** Tiffini Stratton, OWNER
## Practice location
- **Address:** 8435 WURZBACH RD STE 302, San Antonio, TX 78229-3374
- **Phone:** (210) 899-6730 · **Fax:** (833) 776-0625
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (DME, Texas, Oral Surgery - Dentist) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Dentist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1811219637) · Data from the CMS NPPES public registry.