Active NPI
Derek Tucker, DC, CSCS
- Chiropractor
- Albemarle, NC
National Provider Identifier
1003544016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5466
- Practice address
- 315 East St
Albemarle, NC 28001-3425 - Phone
- (704) 985-5472
- NPI assigned
- Aug 9, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5466 | NC | Primary |
Addresses
Primary practice location
315 East St
Albemarle, NC 28001-3425
Mailing address
PO Box 774
Albemarle, NC 28002-0774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5466 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1003544016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 774",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280020774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 EAST ST",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013425",
"telephone_number": "704-985-5472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "DEREK",
"credential": "DC, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-09",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "5466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.