Individual provider Active NPI

Jonathan Tucker

  • Chiropractor
  • Leland, NC
National Provider Identifier
1497513857
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
STUDENT Issued in NC
Practice address
1160 East Cutlar Crossing
Unit 110
Leland, NC 28451
Phone
(910) 371-1200
NPI assigned
Mar 11, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X STUDENT NC Primary

Addresses

Primary practice location

1160 East Cutlar Crossing
Unit 110
Leland, NC 28451

Mailing address

1160 East Cutlar Crossing
Unit 110
Leland, NC 28451
Phone (910) 371-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240731003527 NC Practitioner - Chiropractic 5294272886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rizzo Enterprises IncGroup PAC ID 8325344799, 3 clinicians

Practice addresses (Care Compare)

1160 E Cutlar Crossing
Unit 110
Leland, NC 28451-4126
Phone (910) 371-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
STUDENTNCMDOtolaryngology Physician
5757NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rizzo Enterprises, Inc. Chiropractor CurrentSince Jul 1, 2024 Accepting new patients

Locations

1160 E Cutlar Crossing
Ste 110
Leland, NC 28451
Phone (910) 371-1200

509 Olde Waterford Way
Ste 201
Leland, NC 28451
Phone (910) 371-1200

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.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1497513857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 EAST CUTLAR CROSSING",
            "address_2": "UNIT 110",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "28451",
            "telephone_number": "910-371-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 EAST CUTLAR CROSSING",
            "address_2": "UNIT 110",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "28451",
            "telephone_number": "910-371-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-11",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "STUDENT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.