Active NPI
Maurice L Tucker, D.C.
- Chiropractor
- Midlothian, VA
National Provider Identifier
1780871731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104-557293
- Practice address
- 14431 Sommerville CT Ste D
Midlothian, VA 23113-6812 - Phone
- (804) 745-7822
- NPI assigned
- Oct 3, 2007
- Last updated
- Aug 2, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0000002195 | TN | |
| Chiropractor | 111N00000X | 0104-557293 | VA | Primary |
Addresses
Primary practice location
14431 Sommerville CT Ste D
Midlothian, VA 23113-6812
Mailing address
14431 Sommerville CT Ste D
Midlothian, VA 23113-6812
Phone (804) 745-7822
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2195 | TN | MD | Mental Health Counselor |
| DC0000002195 | TN | MD | Chiropractor |
| 0104-557293 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnick Chiropractic, PS | Past | Accepting new patients | |
| Comber Physical Therapy, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Williamsburg, VA
- NPI 1689769473
-
- Special Hospital
- Vancouver, WA
- NPI 1336559251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1780871731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14431 SOMMERVILLE CT STE D",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231136812",
"telephone_number": "804-745-7822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14431 SOMMERVILLE CT STE D",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231136812",
"telephone_number": "804-745-7822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "MAURICE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-03",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "DC0000002195",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104-557293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.