Individual provider Active NPI

James William Tucker, DC

  • Chiropractor
  • Spokane Valley, WA
National Provider Identifier
1548348014
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH3411 Issued in WA
Practice address
618 N Sullivan Rd Ste 21
Spokane Valley, WA 99037-8528
Phone
(509) 926-7789
Fax
(509) 926-7576
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH3411 WA Primary

Addresses

Primary practice location

618 N Sullivan Rd Ste 21
Spokane Valley, WA 99037-8528

Mailing address

618 N Sullivan Rd Ste 21
Spokane Valley, WA 99037-8528
Phone (509) 926-7789

Other identifiers 1

IdentifierTypeStateIssuer
2031847MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120807000937 WA Practitioner - Chiropractic 6204082233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

618 N Sullivan Rd
Suite 21
Spokane Valley, WA 99037-8528
Phone (509) 926-7789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH3411WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Wellness PS Inc Chiropractor CurrentSince Aug 15, 2012 Accepting new patients

Locations

618 N Sullivan Rd
Ste 21
Spokane Valley, WA 99037
Phone (509) 714-0849

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548348014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 N SULLIVAN RD STE 21",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378528",
            "telephone_number": "509-926-7789",
            "fax_number": "509-926-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 N SULLIVAN RD STE 21",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378528",
            "telephone_number": "509-926-7789",
            "fax_number": "509-926-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH3411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031847",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.