Tucker Chiropractic Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2016030812 Issued in MO

Legal business name

TUCKER CHIROPRACTIC CENTER, LLC

Practice address

208 S Williams St
Jamesport, MO 64648

Phone

(660) 684-6161

NPI assigned

Sep 14, 2016

Last updated

Sep 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hunter White, D.C.NPI 1114473949

Title

Organizer

Phone

(816) 752-2479

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hunter White, D.C.

  • Chiropractor
  • Jamesport, MO
  • NPI 1114473949
  Medicare reassignment NPD Authorized official
• Glenn M Tucker, DC

  • Chiropractor
  • Jamesport, MO
  • NPI 1952433013
  NPD (past)

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1740738210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 S WILLIAMS ST",
            "address_2": "P.O. BOX 133",
            "city": "JAMESPORT",
            "state": "MO",
            "postal_code": "64648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S WILLIAMS ST",
            "city": "JAMESPORT",
            "state": "MO",
            "postal_code": "64648",
            "telephone_number": "660-684-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "HUNTER",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "816-752-2479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2016030812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RDK Family Care LLC
• Saint Luke's Hospital of Trenton (Wright Memorial Jamesport Clinic)
• Saint Lukes Hospital of Trenton (Wright Memorial Jamesport Clinic)
• Tri-County R-VII
• Tucker Chiropractic Center
• Glenn M Tucker, DC
• Dana Raylene Urton, SOLE PROPRIETOR
• Hunter White, D.C.

• Chiropractor in Jamesport, MO
• Providers in Jamesport, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.