Individual provider Active NPI

Joseph A Tucker, HIS

  • Hearing Instrument Specialist
  • Lees Summit, MO
National Provider Identifier
1336728336
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2020019100 Issued in MO
Practice address
400 SW Ward Rd
Lees Summit, MO 64081-2447
Phone
(816) 347-9090
Fax
(816) 347-9092
NPI assigned
Apr 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2020019100 MO Primary

Addresses

Primary practice location

400 SW Ward Rd
Lees Summit, MO 64081-2447

Mailing address

615 N Main St
O Fallon, IL 62269-3704
Phone (618) 624-4471

Other practice location 1

7717 State Line Road
Kansas City, MO 64114
Phone (913) 262-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2020019100MOMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Hearing Inc Hearing Instrument Specialist CurrentSince Apr 11, 2021 Accepting new patients

Locations

615 N Main St
O Fallon, IL 62269

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1336728336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N MAIN ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622693704",
            "telephone_number": "618-624-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW WARD RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812447",
            "telephone_number": "816-347-9090",
            "fax_number": "816-347-9092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7717 State Line Road",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "64114",
            "country_code": "US",
            "telephone_number": "913-262-9900",
            "fax_number": "913-262-9902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2020019100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.