Bret J Tucker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

144126-9921 Issued in UT

Practice address

1953 California Ave
Salt Lake City, UT 84104-4100

Phone

(801) 886-9341

Fax

(801) 886-1786

NPI assigned

Feb 28, 2008

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

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.

• Over the Road Dental

  • General Practice Dentistry
  • Salt Lake City, UT
  • NPI 1912014234
  NPD (past)

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1962671495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271069",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841271069",
            "telephone_number": "801-886-9341",
            "fax_number": "801-886-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 CALIFORNIA AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841044100",
            "telephone_number": "801-886-9341",
            "fax_number": "801-886-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "BRET",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "144126-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Tuala, SSWI
• Jenny C Tuan, MD
• Victoria Pelenaise Tuaone
• Mason Tubb
• Jokesani Tubenamarua I
• Christopher Tucker, EDD
• Erin Bryar Tucker
• Jennifer Tucker
• Jennifer Lynn Tucker
• Kara Kimiko Tucker, D.P.T.

• General Practice Dentistry in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.