Active NPI
Jillian Tucker
- Dentist
- Palm Coast, FL
National Provider Identifier
1679497945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31659
- Practice address
- 250 Palm Coast Pkwy NE
Palm Coast, FL 32137-8224 - Phone
- (386) 457-4570
- NPI assigned
- Aug 7, 2026
- Last updated
- Aug 7, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 31659 | FL | Primary |
Addresses
Primary practice location
250 Palm Coast Pkwy NE
Palm Coast, FL 32137-8224
Mailing address
209 E Vineyard CT
Cape May, NJ 08204-4277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1679497945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 E VINEYARD CT",
"city": "CAPE MAY",
"state": "NJ",
"postal_code": "082044277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PALM COAST PKWY NE",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321378224",
"telephone_number": "386-457-4570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "JILLIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-07",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "31659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.