NPIMap

Organization Active NPI

Tucker Chiropractic Center

  • Chiropractor
  • Langhorne, PA
National Provider Identifier
1336193564
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009195 Issued in PA
Legal business name
TUCKER CHIROPRACTIC CENTER
Practice address
402 Middletown Blvd Ste 210
Langhorne, PA 19047-1818
Phone
(215) 750-8006
Fax
(215) 750-8007
NPI assigned
May 20, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. David R Tucker, D.C.NPI 1811986953
Title
Chiropractor/Owner
Phone
(215) 750-8006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009195 PA Primary

Addresses

Primary practice location

402 Middletown Blvd Ste 210
Langhorne, PA 19047-1818

Mailing address

402 Middletown Blvd Ste 210
Langhorne, PA 19047-1818
Phone (215) 750-8006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050927000041 PA Part B Supplier - Clinic/Group Practice 4789618919 Receives reassigned benefits from 2 practitioners
Practice locations: Langhorne, PA

National Provider Directory

National Provider Directory

Locations

402 Middletown Blvd
Ste 210
Langhorne, PA 19047
Phone (215) 750-8006

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336193564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MIDDLETOWN BLVD STE 210",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471818",
            "telephone_number": "215-750-8006",
            "fax_number": "215-750-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MIDDLETOWN BLVD STE 210",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471818",
            "telephone_number": "215-750-8006",
            "fax_number": "215-750-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "215-750-8006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.