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CASEY L TUCKER DC
NPI 1083667463
Chiropractor in Santa Rosa, CA

Active since May 18, 2006Accepts Medicare Assignment
1211 COLLEGE AVE, SANTA ROSA, CA 95404(707) 526-9355(707) 526-9081 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Casey L Tucker Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASEY L TUCKER DC (NPI 1083667463) is an individual chiropractor in Santa Rosa, California, licensed in California (DC 23602) and active in the NPI registry since May 2006. He is a graduate of Life Chiropractic College - West (1995).

NPPES Registry Identity

NPI1083667463
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameCASEY L TUCKERCredential: DC
Location Address1211 COLLEGE AVESanta Rosa, CA 95404-3907
Mailing Address1211 College AveSanta Rosa, CA 95404-3907 · (707) 526-9355 · Fax (707) 526-9081
Phone(707) 526-9355
Fax(707) 526-9081
Sole ProprietorYes
Medical School CMSLife Chiropractic College - WestGraduated 1995
Enumeration DateMay 18, 2006
Last NPPES UpdateAugust 29, 2012
✔ NPI 1083667463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC 23602
Definition
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.
1211 COLLEGE AVE, Santa Rosa, CA 95404
Open in Google Maps ↗

Other Identifiers 3

OtherDC 23602CA · License Number
Medicare UPINU54854
Medicare ID-Type UnspecifiedDC0236020CA · Medicare Provider Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Casey L Tucker Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365451119
PECOS Enrollment IDI20060407000621

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
1,150 services99 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
350 services42 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TUCKER CHIROPRACTIC, A PROFESSIONAL CORPORATION
Chiropractor
1211 COLLEGE AVE
SANTA ROSA, CA 95404
Sonoma County (707) 526-9355
DR. JOSEPHINE SMITH D.C.
Chiropractor (Neurology)
1211 COLLEGE AVE
SANTA ROSA, CA 95404
Sonoma County (707) 527-0232
ERICKA WOTRING
Massage Therapist
1211 COLLEGE AVE
SANTA ROSA, CA 95404
Sonoma County (707) 490-5543
MR. SAM CARDENAS P.T.
Physical Therapist
1211 COLLEGE AVE
SANTA ROSA, CA 95404
Sonoma County (707) 544-4334

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Casey Tucker's NPI number?

The NPI number for Casey Tucker is 1083667463. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Casey Tucker located?

Casey Tucker practices at 1211 College Ave, Santa Rosa, CA 95404. The listed phone number is (707) 526-9355.

What is Casey Tucker's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Casey Tucker enrolled in Medicare?

Yes. Casey Tucker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Casey Tucker was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.