Individual provider Active NPI

Tucker Eugene Ford, D.C.

  • Chiropractor
  • Northville, MI
National Provider Identifier
1194786145
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007511 Issued in MI
Practice address
41740 6 Mile Rd
Suite 100
Northville, MI 48168-3463
Phone
(248) 465-0000
Fax
(248) 465-0099
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007511 MI Primary

Addresses

Primary practice location

41740 6 Mile Rd
Suite 100
Northville, MI 48168-3463

Mailing address

41740 6 Mile Rd
Suite 100
Northville, MI 48168-3463
Phone (248) 465-0000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120225000157 MI Practitioner - Chiropractic 7911990122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Wellness of Northville PLLCGroup PAC ID 6901061704, 2 clinicians

Practice addresses (Care Compare)

41740 6 Mile Rd
Suite 100
Northville, MI 48168-4381
Phone (248) 465-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301007511MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Wellness of Northville PLLC Chiropractor CurrentSince May 1, 2012 Accepting new patients

Locations

41740 6 Mile Rd
Ste 100
Northville, MI 48168
Phone (248) 465-0000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1194786145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41740 6 MILE RD",
            "address_2": "SUITE 100",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481683463",
            "telephone_number": "248-465-0000",
            "fax_number": "248-465-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41740 6 MILE RD",
            "address_2": "SUITE 100",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481683463",
            "telephone_number": "248-465-0000",
            "fax_number": "248-465-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "TUCKER",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.