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DR. BRENT ARLENTON TUCKER D.D.S.
NPI 1205241668
Dentist - Pediatric Dentistry in Hawthorne, CA

Active since June 24, 2014PECOS Enrolled
13412 INGLEWOOD AVE, HAWTHORNE, CA 90250(310) 219-3266 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2024, Jun 22, 2016, Jan 12, 2016 (3 updates tracked since 2016).

About Dr. Brent Arlenton Tucker D.d.s. NPPES

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

DR. BRENT ARLENTON TUCKER D.D.S. (NPI 1205241668) is an individual pediatric dentistry provider in Hawthorne, California, licensed in California (65354) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Dentistry (2014).

NPPES Registry Identity

NPI1205241668
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. BRENT ARLENTON TUCKERCredential: D.D.S.
Location Address13412 INGLEWOOD AVEHawthorne, CA 90250-5603
Mailing Address13412 Inglewood AveHawthorne, CA 90250-5603 · (310) 219-3266
Phone(310) 219-3266
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of DentistryGraduated 2014
Enumeration DateJune 24, 2014
Last NPPES UpdateAugust 5, 20243 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1205241668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 65354
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 65354 (CA), RES3439 (OH)
13412 INGLEWOOD AVE, Hawthorne, CA 90250
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brent Arlenton Tucker D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234608894
PECOS Enrollment IDI20260513002811
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90250 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. ORLI YADIDI D.D.S
Dentist
13412 INGLEWOOD AVE
HAWTHORNE, CA 90250
Los Angeles County (310) 219-3266
ARLENE M JOYNER A DENTAL CORPORATION
Clinic/Center (Dental)
13412 INGLEWOOD AVE
HAWTHORNE, CA 90250
Los Angeles County (310) 219-3266
DR. ARLENE JOYNER-TUCKER D.D.S
Dentist (Pediatric Dentistry)
13412 INGLEWOOD AVE
HAWTHORNE, CA 90250
Los Angeles County (310) 219-3266

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 Brent Tucker's NPI number?

The NPI number for Brent Tucker is 1205241668. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Brent Tucker located?

Brent Tucker practices at 13412 Inglewood Ave, Hawthorne, CA 90250. The listed phone number is (310) 219-3266.

What is Brent Tucker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Brent Tucker enrolled in Medicare?

Yes. Brent Tucker is registered in the Medicare PECOS enrollment system.

What insurance does Brent Tucker accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Brent Tucker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brent Tucker was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.