CHARLES R. STUCKEN, SR. DDS – NPI #1902884125
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

CHARLES STUCKEN, SR. is a physician located in DOWNEY, CA. NPPES has assigned the NPI number 1902884125 to CHARLES STUCKEN, SR. on January 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES STUCKEN, SR. below.

NPI Profile for
CHARLES R. STUCKEN, SR.

NPI Number
1902884125
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHARLES R. STUCKEN, SR.
Credentials
DDS
Primary location
8847 IMPERIAL HWY
SUITE C-2
DOWNEY, CA 90242
Phone: (562) 861-4011 Fax: (562) 861-2601
Mailing address
Same as primary location
Updated
Identifiers

Identifiers for CHARLES STUCKEN, SR.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDI CALCAB2899201
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
CA 28992

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.