Active NPI
David B Tucker, DPM
- Foot & Ankle Surgery Podiatrist
- Eden, NC
National Provider Identifier
1003818097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 140
- Practice address
- 519 S Van Buren Rd
Suite D
Eden, NC 27288-5070 - Phone
- (336) 627-4861
- Fax
- (336) 623-4411
- NPI assigned
- Aug 10, 2005
- Last updated
- Oct 26, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 140 | NC | Primary |
Addresses
Primary practice location
519 S Van Buren Rd
Suite D
Eden, NC 27288-5070
Mailing address
519 S Van Buren Rd
Suite D
Eden, NC 27288-5070
Phone (336) 627-4861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 140 | NC | MD | Foot & Ankle Surgery Podiatrist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Piedmont Foot Center
- Foot & Ankle Surgery Podiatrist
- Reidsville, NC
- NPI 1225093933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1003818097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 S VAN BUREN RD",
"address_2": "SUITE D",
"city": "EDEN",
"state": "NC",
"postal_code": "272885070",
"telephone_number": "336-627-4861",
"fax_number": "336-623-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 S VAN BUREN RD",
"address_2": "SUITE D",
"city": "EDEN",
"state": "NC",
"postal_code": "272885070",
"telephone_number": "336-627-4861",
"fax_number": "336-623-4411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "DAVID",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NC",
"license": "140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eden, NC
- Aaron Bradley Thompson, MD
- Matthew Chase Thompson, D.C.
- Cheyenne Wilson Tilley, PA-C
- Trudy Rodkin Tobias, LCSW
- Total Renal Care of North Carolina LLC (Dialysis Care of Rockingham County)
- John David Turner, MD
- William Lee Turner, O.D.
- Ultimate Care Assisted Living Facility
- Unc Rockingham Health Care, Inc. (James E. Holmes Middle School Student Health Center)
- Unc Rockingham Health Care, Inc. (UNC Rockingham Hospital Based Provider Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.