Stuart W Tucker, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

11921 Issued in NC

Practice address

734 Hartness Rd
Statesville, NC 28677-3425

Phone

(704) 872-6534

Fax

(704) 872-9407

NPI assigned

May 1, 2018

Last updated

Jul 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: stucker664428@direct.medicine.duke.edu

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.

• George R. Rankin

  • Dentist
  • Statesville, NC
  • NPI 1104098714
  NPD (past)
• Londry Modlin Tucker DDS PLLC

  dba Happy Teeth

  • Pediatric Dentistry
  • Statesville, NC
  • NPI 1205617826
  NPD (past)

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1073001400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 BAY HARBOUR RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281173507",
            "telephone_number": "208-242-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 HARTNESS RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773425",
            "telephone_number": "704-872-6534",
            "fax_number": "704-872-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "STUART",
        "middle_name": "W",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-01",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "11921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Troy, LCSW-A
• Nikhale Truesdale
• Susan Freeman Tubbs, RN
• Winnie Tuck, CRNA
• Gewyl Kasy Tucker, LCMHC, NCC
• Amanda Johnson Turner
• Kimberly Burton Turner
• Scott Michael Turner, PA
• Shenitra Turner, P-LCAS
• Emily Cheek Tuthill, FNP

• Pediatric Dentistry in Statesville, NC
• Providers in Statesville, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.