Organization Active NPI

Melissa Tucker PC

  • General Practice Dentistry
  • Temple, TX
National Provider Identifier
1891911236
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16549 Issued in TX
Legal business name
MELISSA TUCKER PC
Practice address
803 S 37TH St
Temple, TX 76504-5279
Phone
(254) 778-1990
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Melissa Frenchetta Tucker, DDS
Title
President
Phone
(254) 778-1990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 16549 TX Primary

Addresses

Primary practice location

803 S 37TH St
Temple, TX 76504-5279

Mailing address

803 S 37TH St
Temple, TX 76504-5279

National Provider Directory

National Provider Directory

Locations

803 S 37th St
Temple, TX 76504
Phone (217) 474-8493

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891911236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 S 37TH ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765045279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S 37TH ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765045279",
            "telephone_number": "254-778-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA TUCKER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "FRENCHETTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-778-1990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.