Rachel Tucker, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

11644 Issued in NC

Practice address

1165 Cedar Point Blvd Ste P
Cedar Point, NC 28584-1030

Phone

(252) 764-2784

NPI assigned

Aug 8, 2014

Last updated

Nov 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Donna Michelle Gentry DDS PLLC

  • Dental Clinic/Center
  • Cedar Point, NC
  • NPI 1497260707
  NPD (past)

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1588073027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 COUNTRY CLUB RD UNIT D202",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285576234",
            "telephone_number": "256-457-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 CEDAR POINT BLVD STE P",
            "city": "CEDAR POINT",
            "state": "NC",
            "postal_code": "285841030",
            "telephone_number": "252-764-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6172",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014827",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Sink, FNP-C
• Angela Lee Smith
• Kirsten Leigh Stephenson, FNP-BC
• The Therapy Center of Cedar Point
• James Edward Tracy, PT, DPT,MS,OCS,MTC
• Vitalize for Women
• Mildred Pelletier Warren, M.D.
• Western Carteret Fire and EMS Department Inc
• Western Carteret Medical Center, PLLC

• Dentist in Cedar Point, NC
• Providers in Cedar Point, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.