DR. TRAVIS CRAIG TUCKER (NPI# 1790165702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790165702 |
| Entity Type | Individual |
| Full Name | DR. TRAVIS CRAIG TUCKER |
| Credential | D.M.D |
| Practice Address |
1425 Victor Ave Ste A Redding CA 96003-4857 |
| Practice Telephone | 7172670800 |
| Mailing Telephone | 7172670800 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2018-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DS040406 | PA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
100019 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DS040406 | PA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 912 Alandale Dr, Chambersburg, PA 17202 | 7172670800 | 7172673673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972048189 | Travis Tucker | Counselor | 3025 Palladio Ave, North Las Vegas, NV 89031-7250 | 2016-12-23 |
| 1841622073 | Travis Steven Tucker | Optometrist | 8089 Highway 72 W, Suite A, Madison, AL 35758-9530 | 2013-07-30 |
| 1609891688 | Travis Wayne Tucker | Chiropractor | 2472 Chambers Rd, Ste.100, Tustin, CA 92780-6954 | 2006-07-12 |
| 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 |
| 1306320171 | Travis C Tucker, Dmd., Inc. | Dentist | 1425 Victor Ave Ste A, Redding, CA 96003-4857 | 2018-09-18 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184116162 | Dr. Lila P. Wilson Dds, Inc. | Dentist | 2100 Hilltop Dr Ste A, Redding, CA 96002-0512 | 2018-06-05 |
| 1346656634 | Ginger Chan | Dentist | 760 Cypress Ave, Suite 100, Redding, CA 96001-2732 | 2014-07-08 |
| 1417385055 | Christina Hu | Dentist | 1400 Market St Ste 8103, Redding, CA 96001-1050 | 2013-10-16 |
| 1700218096 | Daniel Sorrick | Dentist | 2127 Airpark Dr, Redding, CA 96001-2433 | 2013-08-08 |
| 1992030142 | Robert Fabian Gosin | Dentist | 2301 Park Marina Dr. #27, Redding, CA 96001 | 2009-10-06 |
| 1013161660 | Magdolna Voros | Dentist | 2301 Park Marina Dr., Redding, CA 96001 | 2008-11-10 |
| 1427225754 | Jack J Bonura | Dentist | 1931 Canby Rd, Redding, CA 96002-0338 | 2008-05-15 |
| 1508045733 | David Lee | Dentist | 1212 South St # C, Redding, CA 96001-1912 | 2007-10-24 |
| 1588861009 | Charles I Meinershagen | Dentist | 980 Lake Blvd, Redding, CA 96003-1724 | 2007-06-28 |
| 1174734982 | Brian E. Nilges | Dentist | 2400 Washington Ave Ste 310, Redding, CA 96001-2814 | 2007-05-24 |
| 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.