Betty Huang Tucker, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

30-023424 Issued in OH

Practice address

2200 Olympic St
Springfield, OH 45503-2858

Phone

(937) 390-0493

NPI assigned

Dec 1, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Betty Tucker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Betty Tucker, D.D.S., LLC

  • Pediatric Dentistry
  • Centerville, OH
  • NPI 1548788631
  NPD Authorized official

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1710215819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 OLYMPIC ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032858",
            "telephone_number": "419-463-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 OLYMPIC ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032858",
            "telephone_number": "937-390-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "BETTY",
        "middle_name": "HUANG",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-01",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9005",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "9005",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30-023424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054438",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETTY",
            "last_name": "TUCKER",
            "credential": "BETTY HUANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea Triplett, FNP-C
• Shannon Campbell Trotter, D.O.
• Brandon Michael Truss
• Rashawn Truss
• Michael Tsang
• Julia N Tucker
• Kylah J Tucker
• Marshall Tuetken, PHARMD
• Andrew L Turner
• Sandy Danielle Turner, D.O.

• Pediatric Dentistry in Springfield, OH
• Providers in Springfield, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.