Active NPI
Tamara Tucker, RDH
- Dental Hygienist
- Hayward, WI
National Provider Identifier
1477945426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 10816
- Practice address
- 15910 W Company Lake Rd
Hayward, WI 54843-5320 - Phone
- (715) 372-5001
- NPI assigned
- Feb 28, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 10816 | WI | Primary |
Addresses
Primary practice location
15910 W Company Lake Rd
Hayward, WI 54843-5320
Mailing address
7665 US Highway 2
Iron River, WI 54847-4690
Phone (715) 372-5001
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 |
|---|---|---|---|
| 10816 | WI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425081600000",
"number": "1477945426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7665 US HIGHWAY 2",
"city": "IRON RIVER",
"state": "WI",
"postal_code": "548474690",
"telephone_number": "715-372-5001",
"fax_number": "715-372-5061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15910 W COMPANY LAKE RD",
"city": "HAYWARD",
"state": "WI",
"postal_code": "548435320",
"telephone_number": "715-372-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "TAMARA",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-28",
"last_updated": "2015-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WI",
"license": "10816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.