Travis C Tucker, DMD., Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

TRAVIS C TUCKER, DMD., INC.

Practice address

1425 Victor Ave Ste a
Redding, CA 96003-4857

Phone

(717) 660-6426

NPI assigned

Sep 18, 2018

Organization subpart

No

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

Authorized official

Name

Travis Craig Tucker, DMDNPI 1790165702

Title

President

Phone

(717) 660-6426

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Travis Craig Tucker, D.M.D

  • General Practice Dentistry
  • Redding, CA
  • NPI 1790165702
  NPD Authorized official

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1306320171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 JEFFERSON ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923743995",
            "telephone_number": "717-660-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 VICTOR AVE STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960034857",
            "telephone_number": "717-660-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS C TUCKER, DMD., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-660-6426",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Lee Townsley
• Hieu Trung Tran, RPH
• Transdermal Health Solutions LLC
• Transformative Therapy Project, Inc.
• Craig Traugott, M.D.
• Joshua A Travis, DO
• Amy B. Trent, AMFT
• Robert Grinnell Trent, MD
• Everett D Trevor, MD
• Kristin Marie Trevor, FNP

• Dentist in Redding, CA
• Providers in Redding, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.