John Wesley Tucker Jr.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3142 442 Issued in SC

Practice address

1050 Seven Oaks Dr
Aiken, SC 29803-4704

Phone

(803) 648-3266

Fax

(803) 649-3555

NPI assigned

Aug 16, 2006

Last updated

Oct 16, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. John Wesley Tucker Jr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tucker Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Aiken, SC
  • NPI 1710085675
  NPD (past) Authorized official

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1922111996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SEVEN OAKS DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298034704",
            "telephone_number": "803-648-3266",
            "fax_number": "803-649-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SEVEN OAKS DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298034704",
            "telephone_number": "803-648-3266",
            "fax_number": "803-649-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JOHN",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "442",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "3142 442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "TUCKER",
            "middle_name": "WESLEY",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Trusted Ally Home Care - South Carolina LLC (Trusted Ally Home Care)
• Trent Damian Trzpuc, MD
• Bethany Tschappat, LPC
• Audrey Tseng, DO
• Tucker Orthodontics
• Perry Shealy Tucker, D.M.D.
• Karen Grace Turner, MPT
• Jurgena Tusha, MD
• Jamie Jeanette Tuttle, MSN FNP-BC
• Julia Tuttle

• Orthodontics and Dentofacial Orthopedics Dentistry in Aiken, SC
• Providers in Aiken, SC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.