David L Tucker, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1779 Issued in MN

Practice address

111 14TH St NE
Ste E
Rochester, MN 55906-7058

Phone

(507) 289-5669

Fax

(507) 292-8913

NPI assigned

Jul 31, 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 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1629084538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 14TH ST NE",
            "address_2": "STE E",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559067058",
            "telephone_number": "507-289-5669",
            "fax_number": "507-292-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 14TH ST NE",
            "address_2": "STE E",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559067058",
            "telephone_number": "507-289-5669",
            "fax_number": "507-292-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "774827200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "59899BR",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucas Tschumper, RN
• Amy Tse
• Ioasa K Tua
• Amanda K Tucker, CRNA
• Candice N Tucker, PA-C
• Leah Frances Tucker
• Sharon J Tucker, RN, DNSC
• Danilo Tueme de la Pena, M.C.
• Victoria Ching-Yum Tuen-Behm, MD
• Sami Tuffaha, M.D.

• Chiropractor in Rochester, MN
• Providers in Rochester, MN by specialty
• Chiropractor in Minnesota

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