DR. DAVID L TUCKER (NPI# 1629084538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629084538 |
| Entity Type | Individual |
| Full Name | DR. DAVID L TUCKER |
| Credential | DC |
| Practice Address |
111 14th St Ne Ste E Rochester MN 55906-7058 |
| Practice Telephone | 5072895669 |
| Practice Fax Number | 5072928913 |
| Mailing Telephone | 5072895669 |
| Mailing Fax Number | 5072928913 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2010-02-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1779 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 774827200 | 05 | |
| MN | BLUE CROSS | 59899BR | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114491024 | David Tucker | In Home Supportive Care | 3214 Capehart Dr, Saint Louis, MO 63121-5321 | 2019-01-14 |
| 1982025565 | David Tucker | Orthopaedic Surgery | 50 Dawn Lane, Airmont, NY 10901 | 2013-12-26 |
| 1174890743 | David B Tucker | Social Worker | 10751 Garfield Ave, Culver City, CA 90230-4112 | 2011-11-25 |
| 1275707176 | David Lawrence Tucker Jr. | Physical Therapist | 4921 Airline Dr, Metairie, LA 70001-5664 | 2008-04-22 |
| 1780854380 | David Neil Tucker | Ophthalmology | 18 Hermit Ln, Westport, CT 06880-1113 | 2008-03-10 |
| 1134168677 | David James Tucker | Chiropractor | 121 S Court St, Ottumwa, IA 52501-2519 | 2006-06-06 |
| 1811986953 | David R Tucker | Chiropractor | 402 Middletown Blvd Ste 210, Langhorne, PA 19047-1818 | 2005-10-20 |
| 1467080630 | David Andrew Tucker | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-04-01 |
| 1508325416 | David Tucker | Marriage & Family Therapist | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-03-19 |
| 1770964975 | David Tucker | Counselor | 400 Lake Front Dr, Russellville, AR 72802-2206 | 2015-06-12 |
| Street Address |
111 14TH ST NE STE E |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55906-7058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912472440 | Carole Ellen Jenson | Nurse Practitioner | Rochester Clinic, 3070 Wellner Drive Ne, Rochester, MN 55906 | 2018-10-11 |
| 1760853980 | Sebandy Home Care Services, LLC | Health Maintenance Organization | 2548 Lisa Ln Ne, Rochester, MN 55906 | 2015-10-14 |
| 1538550611 | Rachel Eldersveld | Nurse Practitioner | 716 12th Ave Ne, Rochester, MN 55906 | 2015-02-11 |
| 1639590045 | Riverstone Psychological Services | Community/Behavioral Health | 511 Northern Hills Dr Ne, Suite 2, Rochester, MN 55906 | 2014-01-02 |
| 1396177457 | Marjorie Evelyn Murray | Custodial Care Facility | 4501-22nd Ave N.e., Rochester, MN 55906 | 2013-07-31 |
| 1447532411 | Peter M Holm | Dentist | 120 North Broadway Ne, Suite B, Good Samaritan Dental Clinic, Rochester, MN 55906 | 2011-09-15 |
| 1154615193 | Amy Johnson Tremain | Psychologist | 3228 6th Ave Ne Unit B, Rochester, MN 55906 | 2011-06-07 |
| 1235451816 | Connie Krueger | Dental Hygienist | 120 North Broadway, Ne, Suite B, Rochester, MN 55906 | 2010-02-23 |
| 1700115508 | Smn Home Care, LLC | Home Health | 1700 N. Broadway, Suite 114, Rochester, MN 55906 | 2009-12-08 |
| 1528395068 | Ryley D Layden | Chiropractor | 3169 Wellner Dr. Ne, Suite C, Rochester, MN 55906 | 2009-11-04 |
| Find all providers in zip 55906 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1124646856 | Brayana Lashay Dudley | Chiropractor | 25 Scott Ln, Rochester, NY 14624-3919 | 2020-07-09 |
| 1649897893 | Mary-margaret Baukol | Chiropractor | 275 37th St Ne Ste 200, Rochester, MN 55906-5438 | 2020-07-02 |
| 1073159489 | Anh Wellness Chiropractic Pllc | Chiropractor | 500 Helendale Rd Ste 160, Rochester, NY 14609-3125 | 2019-11-20 |
| 1477103042 | Caitlin R Simpson | Chiropractor | 1655 Elmwood Ave Ste 235, Rochester, NY 14620-3431 | 2019-09-16 |
| 1447721048 | Holly A Potter | Chiropractor | 2005 Lyell Ave Ste 115, Rochester, NY 14606-2325 | 2018-12-08 |
| 1306343819 | Christopher J Hartley | Chiropractor | 3257 19th St Nw Ste 1, Rochester, MN 55901-6797 | 2018-04-11 |
| 1316445349 | Hudson Family Chiropractic, Pllc | Chiropractor | 470 Long Pond Rd Ste 270f, Rochester, NY 14612 | 2018-01-24 |
| 1174031652 | Joseph Tshamala | Chiropractor | 2164 Hudson Ave., Rochester, NY 14617 | 2018-01-18 |
| 1598290884 | Rochester Chiropractic & Welln | Chiropractor | 3510 8th St Nw # 100, Rochester, MN 55901-5927 | 2017-04-25 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.