Sheila E. Tucker, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

15908 Issued in MA

Practice address

123 Abbot St
Andover, MA 01810-4835

Phone

(978) 475-9412

NPI assigned

Apr 10, 2008

Sex

Female

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Andover Periodontics, PC

  • Periodontics
  • Andover, MA
  • NPI 1477808822
  NPD (past)

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1457524449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 STEVENS ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018106516",
            "telephone_number": "978-475-0567",
            "fax_number": "978-475-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 ABBOT ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104835",
            "telephone_number": "978-475-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "SHEILA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "15908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Jeanette True, LICENSED INDEPENDENT
• Trustees of Phillips Academy
• Julie Elizabeth Tucci, R.D.
• Sheila Marie Tucke, LICSW
• Randall D Tucker, DMD
• Anthony E Turiano, MD
• Delaney Grace Turner, DMD
• Uberdoc, Inc.
• Tien T. Ung, LICSW
• Ariel J Vaillancourt

• Periodontics in Andover, MA
• Providers in Andover, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.