Perry Shealy Tucker, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3469 Issued in SC

Practice address

1050 Seven Oaks Dr
Aiken, SC 29803-4704

Phone

(803) 648-3266

Fax

(803) 649-3555

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Tucker Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Aiken, SC
  • NPI 1710085675
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780690669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SEVEN OAKS DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298034704",
            "telephone_number": "803-648-3266",
            "fax_number": "803-649-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SEVEN OAKS DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298034704",
            "telephone_number": "803-648-3266",
            "fax_number": "803-649-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "PERRY",
        "middle_name": "SHEALY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "3469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trent Damian Trzpuc, MD
• Bethany Tschappat, LPC
• Audrey Tseng, DO
• Tucker Orthodontics
• John Wesley Tucker Jr.
• Karen Grace Turner, MPT
• Jurgena Tusha, MD
• Jamie Jeanette Tuttle, MSN FNP-BC
• Julia Tuttle
• Twenty Two Pack Management Corp.

• Orthodontics and Dentofacial Orthopedics Dentistry in Aiken, SC
• Providers in Aiken, SC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.