Carlos E Lucero
Carlos E Lucero is a healthcare organization registered as Pediatric Adolescent Medicine Physician in Beckley, WV, holding Type 2 (organization) NPI 1649304395 since 2007. The authorized official on file is Carlos Lucero, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1649304395 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Carlos E Lucero |
| Other name | <Unavail> |
| Practice address | 403 CARRIAGE DR, Beckley, WV, 25801 |
| Phone | 3042557456 |
| Fax | 3042555899 |
| Enumeration date | 2007-03-15 |
| Last updated in NPPES | 2008-08-12 |
Authorized official
| Name | Carlos Lucero |
|---|---|
| Title | Owner |
| Phone | 3042557456 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2080A0000X | Pediatric Adolescent Medicine Physician | Primary | 10355 | WV |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0112021000 | Medicaid | WV | — |
| 3810002253 | Other | WV | MEDICAID GROUP |
| 3810002253 | Medicaid | WV | — |
Copy-ready billing details
Provider: Carlos E Lucero NPI: 1649304395 Taxonomy: 2080A0000X (Pediatric Adolescent Medicine Physician) Address: 403 CARRIAGE DR, Beckley, WV, 25801
Verify this record
Cross-check NPI 1649304395 against the authoritative CMS record: view Carlos E Lucero on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Carlos E Lucero located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-08-12.