Travis Wayne Tucker, D. C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC16567 Issued in CA

Practice address

2472 Chambers Rd
Ste.100
Tustin, CA 92780-6954

Phone

(949) 767-7090

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1985

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Da Molthen JP Earnest Doctors of Chiropractic Apc

  • Chiropractor
  • Tustin, CA
  • NPI 1689691511
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1609891688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2472 CHAMBERS RD",
            "address_2": "STE.100",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806954",
            "telephone_number": "949-767-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2472 CHAMBERS RD",
            "address_2": "STE.100",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806954",
            "telephone_number": "949-767-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "TRAVIS",
        "middle_name": "WAYNE",
        "credential": "D. C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC16567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD IDENTIFIER",
            "identifier": "DC0165670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ya-Szu Tsao, PHYSICAL THERAPIST
• Raina Tsuda, DAOM, L.AC.
• Maria Emilia Tu, RPH
• Daniel Tucker, PSY.D.
• Savannah Tucker
• Arthur Turk, MD
• Marisa Turner, M.D.
• Tustin Adhc LLC
• Tustin Audiology, Inc.
• Tustin Community Pharmacy Inc

• Chiropractor in Tustin, CA
• Providers in Tustin, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.