Shavon Tucker, DDS
NPI 1316780422 · Dentist · Milwaukee, WI
Enrolled with Medicare as Practitioner - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shavon Tucker, DDS is a Dentist provider in Milwaukee, WI (NPI 1316780422).
Provider details
- NPI number
- 1316780422
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 2024022265 (MO)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 1153 Ne Rice RdLees Summit, MO 64086-6788Phone: (816) 477-7070
- 8200 W Silver Spring DrMilwaukee, WI 53218-2552Phone: (414) 267-2671Fax: (414) 464-7258
Registry dates
- Enumerated
- 2024-06-17
- Last updated
- 2025-07-17
- Certified
- 2025-07-15
Frequently asked questions
- What is Shavon Tucker's NPI number?
- Shavon Tucker's National Provider Identifier (NPI) is 1316780422, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shavon Tucker's specialty?
- Shavon Tucker is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Shavon Tucker located?
- Shavon Tucker's practice location on file with NPPES is 2555 N Dr Martin Luther King Jr Dr, Milwaukee, WI 53212-2709.
- What is Shavon Tucker's phone number?
- The practice phone number listed in the NPPES registry for Shavon Tucker is (414) 267-2670.
- Does Shavon Tucker accept Medicare?
- Shavon Tucker is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shavon Tucker's NPI active?
- Yes — Shavon Tucker's NPI (1316780422) is active in the NPPES registry as of the last update on 2025-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.