NPIMap

Organization Active NPI

Tucker Family Dentistry, P.C.

  • General Practice Dentistry
  • Selma, AL
National Provider Identifier
1992083117
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5723 Issued in AL
Legal business name
TUCKER FAMILY DENTISTRY, P.C.
Practice address
2455 Medical Center Pkwy
Selma, AL 36701-7756
Phone
(334) 872-0486
NPI assigned
Jul 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Authorized official

Name
Dr. Taylor Logan Tucker, D.M.D.NPI 1609100593
Title
President
Phone
(334) 875-0486

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5723 AL Primary

Addresses

Primary practice location

2455 Medical Center Pkwy
Selma, AL 36701-7756

Mailing address

2455 Medical Center Pkwy
Selma, AL 36701-7756
Phone (334) 872-0486

National Provider Directory

National Provider Directory

Locations

2455 Medical Center Pkwy
Selma, AL 36701
Phone (334) 872-0486

Practitioners & affiliated clinicians

Practitioners 4

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": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1992083117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 MEDICAL CENTER PKWY",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367017756",
            "telephone_number": "334-872-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 MEDICAL CENTER PKWY",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367017756",
            "telephone_number": "334-872-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "LOGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-875-0486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

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