Individual provider Active NPI

Kevin Lee Tucker, D.C.

  • Chiropractor
  • Blue Springs, MO
National Provider Identifier
1285662973
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005710 Issued in MO
Practice address
320 NW Woods Chapel Rd
A
Blue Springs, MO 64015-3282
Phone
(816) 228-8900
Fax
(816) 228-8965
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 005710 MO Primary

Addresses

Primary practice location

320 NW Woods Chapel Rd
A
Blue Springs, MO 64015-3282

Mailing address

320 NW Woods Chapel Rd
A
Blue Springs, MO 64015-3282
Phone (816) 228-8900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050105000608 MO Practitioner - Chiropractic 3375591464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucker Chiropractic PCGroup PAC ID 1658324900, 2 clinicians

Practice addresses (Care Compare)

320 NW Woods Chapel Rd
Suite a
Blue Springs, MO 64015-3289
Phone (816) 228-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005710MOMDChiropractor

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285662973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 NW WOODS CHAPEL RD",
            "address_2": "A",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153282",
            "telephone_number": "816-228-8900",
            "fax_number": "816-228-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 NW WOODS CHAPEL RD",
            "address_2": "A",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153282",
            "telephone_number": "816-228-8900",
            "fax_number": "816-228-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.