Tucker Chiropractic Center PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TUCKER CHIROPRACTIC CENTER PLLC

Practice address

1179 S Gentry Blvd
Gentry, AR 72734-9624

Phone

(479) 736-8900

Fax

(479) 736-5133

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey A Tucker, D. C.NPI 1770582710

Title

Owner

Phone

(479) 736-8900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Jeffrey A Tucker, D. C.

  • Chiropractor
  • Gentry, AR
  • NPI 1770582710
  Medicare reassignment Care Compare group NPD Authorized official
• Damon Cole Cripps, DC

  • Chiropractor
  • Gentry, AR
  • NPI 1679357081
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1104848001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "GENTRY",
            "state": "AR",
            "postal_code": "727340936",
            "telephone_number": "479-736-8900",
            "fax_number": "479-736-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1179 S GENTRY BLVD",
            "city": "GENTRY",
            "state": "AR",
            "postal_code": "727349624",
            "telephone_number": "479-736-8900",
            "fax_number": "479-736-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER CHIROPRACTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-736-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181145718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Morgan Paige Stout
• Scott David Stubbs, D.D.S.
• Jeffrey A Tucker, D. C.
• Lauren Unger
• Wal-Mart Stores Inc
• Meghan Williams

• Chiropractor in Gentry, AR
• Providers in Gentry, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.