Glenn M Tucker, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

003978 Issued in MO

Practice address

208 South Williams Street
Jamesport, MO 64648-0133

Phone

(660) 684-6161

Fax

(660) 684-6334

NPI assigned

Mar 12, 2007

Last updated

Nov 10, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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 Chiropractic Center

  • Chiropractor
  • Jamesport, MO
  • NPI 1730366535
  NPD (past) Authorized official
• Tucker Chiropractic Center, LLC

  • Chiropractor
  • Jamesport, MO
  • NPI 1740738210
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1952433013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133",
            "city": "JAMESPORT",
            "state": "MO",
            "postal_code": "646480133",
            "telephone_number": "660-684-6161",
            "fax_number": "660-684-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 SOUTH WILLIAMS STREET",
            "city": "JAMESPORT",
            "state": "MO",
            "postal_code": "646480133",
            "telephone_number": "660-684-6161",
            "fax_number": "660-684-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "GLENN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "003978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11690032",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saint Luke's Hospital of Trenton (Wright Memorial Jamesport Clinic)
• Saint Lukes Hospital of Trenton (Wright Memorial Jamesport Clinic)
• Tri-County R-VII
• Tucker Chiropractic Center
• Tucker Chiropractic Center, LLC
• Dana Raylene Urton, SOLE PROPRIETOR
• Hunter White, D.C.

• Chiropractor in Jamesport, MO
• Providers in Jamesport, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.