Patricia W Tucker, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

6595/605 Issued in KY

Practice address

902 Dupont Rd
Louisville, KY 40207-4602

Phone

(502) 895-9422

NPI assigned

Apr 3, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1558323873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 WESTGATE PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072327",
            "telephone_number": "502-419-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 DUPONT RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074602",
            "telephone_number": "502-895-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "PATRICIA",
        "middle_name": "W",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "KY",
            "license": "6595/605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Tucker, ARNP
• Jill Ann Tucker, LPCC
• Kaitlyn Diane Tucker, PA-C
• Lindsay Tucker
• Michael A Tucker, PHARMD, RPH
• Sarah Ann Tucker
• Sarah CB Tucker, OTR/L
• Sierra Tucker, RBT
• Thomas T Tucker, M.D.
• Wayne Tuckson, MD

• Periodontics in Louisville, KY
• Providers in Louisville, KY by specialty
• Periodontics in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.