Organization Active NPI

Jason Tucker DDS PLLC

  • Dental Clinic/Center
  • Spokane, WA
National Provider Identifier
1407309909
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
60111978 Issued in WA
Legal business name
JASON TUCKER DDS PLLC
Practice address
2718 E 57TH Ave
Spokane, WA 99223-6605
Phone
(509) 448-5888
NPI assigned
Aug 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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

Authorized official

Name
Jason R Tucker, DDS
Title
Dentist
Phone
(509) 448-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 60111978 WA Primary

Addresses

Primary practice location

2718 E 57TH Ave
Spokane, WA 99223-6605

Mailing address

2718 E 57TH Ave
Spokane, WA 99223-6605
Phone (509) 448-5888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1407309909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 E 57TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992236605",
            "telephone_number": "509-448-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 E 57TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992236605",
            "telephone_number": "509-448-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON TUCKER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "509-448-5888",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "60111978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.