Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Douglas Gregory Tacket, D.O.

Family Medicine Physician in Saint Joseph, MI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790764868

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Registry record

Entity type Individual (Type 1)

Name Dr. Douglas Gregory Tacket

Credential D.O.

Sex Male

Practice address 4077 S Cleveland Ave, Saint Joseph, MI, 49085

Phone (269) 429-2992

Enumeration date Jan 17, 2006

Last updated in NPPES Feb 22, 2024

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 02001246A (IN) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 5101012140 (MI) Primary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier	Type	State	Issuer
114560327	Medicaid	MI	-
0851101104	Other	-	BCBS
236040362	Other	IN	MEDICARE PTAN
300049695	Medicaid	IN	-
236040362	Other	-	MEDICARE PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Douglas Tacket's NPI record?

Cross-check NPI 1790764868 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1790764868 active?

Yes, as of the latest NPPES snapshot, NPI 1790764868 is active (record last updated 2024-02-22).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-22.