Jordan Tucker, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10142 Issued in NC

Practice address

1223 Parkside Main St
Cary, NC 27519-6951

Phone

(919) 701-6699

NPI assigned

Jul 13, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tucker & Associates PLLC

  • General Practice Dentistry
  • Cary, NC
  • NPI 1598575748
  NPD Authorized official
• Ryan T. Pruitt, D.M.D & Associates P.a.

  • General Practice Dentistry
  • Greenville, NC
  • NPI 1821727520
  NPD (past)

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1437533247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 PARKSIDE MAIN ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275196951",
            "telephone_number": "919-701-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 PARKSIDE MAIN ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275196951",
            "telephone_number": "919-701-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JORDAN",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TTG Medical Supplies LLC
• Roftana Tuccu
• Tucker & Associates PLLC
• Samantha Maureen Tucker-Canal, CNM
• Ira Stephen Tucker, O.D.
• McKenzie Tucker, MD
• Jordan Tuggle
• Saio Turay
• Jazmein Turnage
• Tyler Matthew Turnbach

• Dentist in Cary, NC
• Providers in Cary, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.