Organization Active NPI

Tucker Chiropractic, PLC

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1063715126
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3959 Issued in OK
Legal business name
TUCKER CHIROPRACTIC, PLC
Doing business as
Core Chiropractic & Wellness
Practice address
10001 S Pennsylvania Ave
BLDG P Suite 170
Oklahoma City, OK 73159-6923
Phone
(405) 759-2345
Fax
(405) 759-3874
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kessa Tucker, D.C.NPI 1922334085
Title
Doctor of Chiropractic/Owner
Phone
(405) 759-2345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3959 OK Primary

Addresses

Primary practice location

10001 S Pennsylvania Ave
BLDG P Suite 170
Oklahoma City, OK 73159-6923

Mailing address

PO Box 890184
Oklahoma City, OK 73189-0184
Phone (405) 759-2345

Other names 1

  • Core Chiropractic & Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121030000207 OK Part B Supplier - Clinic/Group Practice 5193975019 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1063715126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890184",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731890184",
            "telephone_number": "405-759-2345",
            "fax_number": "405-759-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 S PENNSYLVANIA AVE",
            "address_2": "BLDG P SUITE 170",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596923",
            "telephone_number": "405-759-2345",
            "fax_number": "405-759-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER CHIROPRACTIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "KESSA",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/OWNER",
        "authorized_official_telephone_number": "405-759-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Chiropractic & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.