TRAVIS C TUCKER, DMD., INC. (NPI# 1306320171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306320171 |
| Entity Type | Organization |
| Organization Name | TRAVIS C TUCKER, DMD., INC. |
| Practice Address |
1425 Victor Ave Ste A Redding CA 96003-4857 |
| Mailing Address |
543 Jefferson St Redlands CA 92374-3995 |
| Practice Telephone | 7176606426 |
| Mailing Telephone | 7176606426 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |
| Authorized Official Name | TRAVIS CRAIG TUCKER (PRESIDENT) |
| Authorized Official Telephone | 7176606426 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
1425 VICTOR AVE STE A |
| City | REDDING |
| State | CA |
| Zip Code | 96003-4857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598881658 | John F Rooney | Dentist | 1425 Victor Ave Ste A, Redding, CA 96003-4035 | 2007-03-21 |
| 1790165702 | Travis Craig Tucker | Dentist | 1425 Victor Ave Ste A, Redding, CA 96003-4857 | 2015-06-04 |
| 1750501391 | Deanna L. Dahlberg | Dental Hygienist | 1425 Victor Ave Ste A, Redding, CA 96003-4035 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144882309 | Patricia Price | Social Worker | 2280 Benton Dr Building C, Suite A, Redding, CA 96003 | 2019-07-08 |
| 1487102745 | Jill Marie Shepherd Piercy Clark | Psychologist | 1465 Victor Ave Ste B, Redding, CA 96003 | 2016-09-15 |
| 1811344450 | Roger Milton Slagle | Social Worker | 999 Mission De Oro Dr Ste 103, Redding, CA 96003 | 2016-05-23 |
| 1265713812 | Tesha Marie Huston | Pharmacist | 975 Cypress Ave, Redding, CA 96003 | 2011-09-08 |
| 1861717605 | Western Physical Therapy Inc | Physical Therapist | 1495 Victor Ave, Suite D, Redding, CA 96003 | 2010-04-05 |
| 1013230036 | Douglas Norman Porter | Psychologist | 748 North Market St., Redding, CA 96003 | 2010-03-04 |
| 1821232877 | Express Medi-trans, Inc. | Non-emergency Medical Transport (VAN) | 2985 Innsbruck Dr, Redding, CA 96003 | 2009-04-21 |
| 1235393000 | Bridget Gabrielle Young | Physical Therapist | 2021 Benton Dr, Redding, CA 96003 | 2008-07-10 |
| 1447427406 | Terra Bella Communities | Nursing Facility/Intermediate Care Facility | 280 Riverpark Drive, Redding, CA 96003 | 2008-05-09 |
| 1588830657 | Terra Bella Communities | Intermediate Care Facility, Mentally Retarded | 237 Shadowrun Ct., Redding, CA 96003 | 2008-05-07 |
| Find all providers in zip 96003 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407467129 | Drake Exstrom | Dentist | 2315 North Bechelli Ln, Suite A, Redding, CA 96002 | 2020-08-14 |
| 1689148215 | Western Dental Services, Inc. | Dentist | 1667 Hilltop Dr Ste E, Redding, CA 96002-0240 | 2019-01-16 |
| 1821520123 | Cass Family Dentistry | Dentist | 3320 Churn Creek Rd, Redding, CA 96002-2525 | 2017-03-28 |
| 1629467113 | Ann Malotky, Dds., Inc. | Dentist | 1800 Buenaventura Blvd, Suite 100, Redding, CA 96001-3700 | 2015-01-21 |
| 1760891543 | Li Min Hou, Dds, A Professional Corporation | Dentist | 1627 Hilltop Dr, Suite A, Redding, CA 96002-0252 | 2014-08-06 |
| 1568870723 | Rachel Lauren Barnhart | Dentist | 2190 Larkspur Ln Ste 100, Redding, CA 96002-0636 | 2014-07-31 |
| 1801145248 | Jessica Lee | Dentist | 1635 Pleasant St, Redding, CA 96001-2330 | 2012-08-30 |
| 1174803308 | Eric Howard Frederiksen | Dentist | 6640 Waterford Dr, Redding, CA 96001 | 2011-08-19 |
| 1275828840 | Shannika Tricia Dao | Dentist | 2695 Bechelli Ln, Redding, CA 96002 | 2011-06-13 |
| 1912298431 | Western Dental Services, Inc | Dentist | 1310 Churn Creek Rd, Suite E3 - E4, Redding, CA 96003-4004 | 2011-05-02 |
| Find all providers in REDDING | ||||
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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.