Organization Active NPI

Ray Tuckett, DDS, PC

Doing business as Marketplace Dental Excellence

  • General Practice Dentistry
  • Queen Creek, AZ
National Provider Identifier
1811189608
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4333 Issued in AZ
Legal business name
RAY TUCKETT, DDS, PC
Doing business as
Marketplace Dental Excellence
Practice address
18610 E. Rittenhouse Rd
BLDG a, #106
Queen Creek, AZ 85242-4504
Phone
(480) 545-8700
NPI assigned
Aug 15, 2007
Last updated
Aug 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Dr. Ray William Tuckett, DDSNPI 1982621728
Title
President
Phone
(480) 545-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4333 AZ Primary

Addresses

Primary practice location

18610 E. Rittenhouse Rd
BLDG a, #106
Queen Creek, AZ 85242-4504

Mailing address

18610 E. Rittenhouse Rd
BLDG a, #106
Queen Creek, AZ 85242-4504
Phone (480) 545-8700

Other names 1

  • Marketplace Dental Excellence Doing business as

National Provider Directory

National Provider Directory

Locations

18610 E Rittenhouse Rd
Ste 106
Queen Creek, AZ 85142
Phone (480) 545-8700

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1811189608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18610 E. RITTENHOUSE RD",
            "address_2": "BLDG A, #106",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852424504",
            "telephone_number": "480-545-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18610 E. RITTENHOUSE RD",
            "address_2": "BLDG A, #106",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852424504",
            "telephone_number": "480-545-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY TUCKETT, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "TUCKETT",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-545-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marketplace Dental Excellence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.