Charles T. Tucker DC, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 3743 Issued in FL

Legal business name

CHARLES T. TUCKER DC, PA

Practice address

4041 NW 37TH PL
Suite a
Gainesville, FL 32606-6112

Phone

(352) 378-3787

Fax

(352) 378-4004

NPI assigned

Jul 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Charles Thomas Tucker, DCNPI 1124055322

Title

President

Phone

(352) 378-3787

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Charles Thomas Tucker, DC

  • Chiropractor
  • Gainesville, FL
  • NPI 1124055322
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1265662407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 NW 37TH PL",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066112",
            "telephone_number": "352-378-3787",
            "fax_number": "352-378-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 NW 37TH PL",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066112",
            "telephone_number": "352-378-3787",
            "fax_number": "352-378-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES T. TUCKER DC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-378-3787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 3743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050475100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Blanchard Stoer MD PA
• Charles E Graper MD DDS PA
• Charles E Graper MD DDS PA
• Charles F Nardi M D P a
• Charles R. Martin, PH.D., LLC
• Angel Marie Charles
• Jeane Charles
• Moira Charles
• Norma J. Charles, PSY.D.
• Mildred Charlotin

• Chiropractor in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.