Active NPI
Joseph A Tucker, HIS
- Hearing Instrument Specialist
- Lees Summit, MO
National Provider Identifier
1336728336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2020019100
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2020019100 | MO | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Hearing Inc | Hearing Instrument Specialist | Current | 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.
-
- Hearing Instrument Specialist
- O Fallon, IL
- NPI 1144836800
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.