Elizabeth Ann Tucker, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

8 Executive CT
South Barrington, IL 60010-9531

Phone

(847) 382-0700

NPI assigned

Jan 14, 2008

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 20, 2017 through Jun 20, 2027

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.

• Allison Bartley DMD PLLC

  • General Practice Dentistry
  • South Barrington, IL
  • NPI 1578400693
  NPD (past)
• Elmhurst Dental Group, LTD. Dba St. Charles Dental

  dba St. Charles Dental

  • General Practice Dentistry
  • St Charles, IL
  • NPI 1891028452
  NPD (past)

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1881870467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 EXECUTIVE CT",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109531",
            "telephone_number": "847-382-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 EXECUTIVE CT",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109531",
            "telephone_number": "847-382-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tayyabba Athar DDS PC (South Barrington Dental Care)
• The Aesthetic Plastic Surgery Center of Barrington, LLC
• The Dental Store, LTD. (Barrington Family Smiles, LTD)
• Paul Vincent Ilagan Tolentino
• Edralyn Torres
• U.S. Surgical Associates, Inc.
• Keitel Ubayubay
• Zara Vimawala, DMD
• Vitality Home Therapies, Inc. (Vitality Dialysis)
• Paige Wells, D.M.D.

• General Practice Dentistry in South Barrington, IL
• Providers in South Barrington, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.