Individual provider Active NPI

David R Tucker, D.C.

  • Chiropractor
  • Langhorne, PA
National Provider Identifier
1811986953
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009195 Issued in PA
Practice address
402 Middletown Blvd Ste 210
Langhorne, PA 19047-1818
Phone
(215) 750-8006
Fax
(215) 750-8007
NPI assigned
Oct 20, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009195 PA Primary

Addresses

Primary practice location

402 Middletown Blvd Ste 210
Langhorne, PA 19047-1818

Mailing address

402 Middletown Blvd Ste 210
Langhorne, PA 19047-1818
Phone (215) 750-8006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050309000119 PA Practitioner - Chiropractic 3971557356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucker Chiropractic CenterGroup PAC ID 4789618919, 2 clinicians

Practice addresses (Care Compare)

402 Middletown Blvd
Suite 210
Langhorne, PA 19047-1818
Phone (215) 750-8006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC009195PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tucker Chiropractic Center Chiropractor CurrentSince Aug 1, 2005 Accepting new patients
Avon Discount Pharmacy LLC PastSince Sep 15, 2019 Accepting new patients
Bucks Dermatology Associates PC PastSince Aug 1, 2005 Accepting new patients
Northeast Chiropractic Bodyshop, P.C. Chiropractor Past Accepting new patients
Tucker Chiropractic Center, PC Past Accepting new patients

Locations

402 Middletown Blvd
Ste 210
Langhorne, PA 19047
Phone (215) 750-8006

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811986953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MIDDLETOWN BLVD STE 210",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471818",
            "telephone_number": "215-750-8006",
            "fax_number": "215-750-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MIDDLETOWN BLVD STE 210",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471818",
            "telephone_number": "215-750-8006",
            "fax_number": "215-750-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.