Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Buck Jack LLC

Q: What is the NPI number for Buck Jack LLC?

The NPI for Buck Jack LLC is 1619580735, a Type 2 (organization) record in the CMS NPPES registry.

Speech-Language Pathologist in Pueblo, CO · enumerated 2020 · authorized official Tanner Denn, Credentialing Specialist.

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

National Provider Identifier

1619580735

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Registry record

Entity type Organization (Type 2)

Legal business name Buck Jack LLC

Other name <Unavail>

Practice address 1301 Fortino Blvd, Pueblo, CO, 81008

Phone (719) 696-7799

Enumeration date Aug 28, 2020

Last updated in NPPES Feb 28, 2024

Taxonomy & classification

103K00000X Behavior Analyst Behavioral Health & Social Service Providers Secondary

103T00000X Psychologist Behavioral Health & Social Service Providers Secondary

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Primary

Authorized official

Name Tanner Denn

Title Credentialing Specialist

Phone (719) 428-1840

Other identifiers

Identifier	Type	State	Issuer
9000188140	Medicaid	CO	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Buck Jack LLC?

NPPES lists Tanner Denn (Credentialing Specialist) as the authorized official for this organization.

What is the NPI number for Buck Jack LLC?

The NPI for Buck Jack LLC is 1619580735, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

Browse all →

Shelby Bryant Occupational Therapist · Pueblo, CO NPI 1629444096 Jessica Royal-Ramirez Pediatric Occupational Therapist · Pueblo, CO NPI 1730606948 Michael Greenwood Occupational Therapist · Pueblo, CO NPI 1679044622 Mackenzie Holcomb Pediatric Occupational Therapist · Pueblo, CO NPI 1396305611 Amy Shandy, Speech-Language Pathologist, LLC Speech-Language Pathologist · Pueblo, CO NPI 1801401153 Katelynn Paulsen Physical Therapist · Pueblo, CO NPI 1245847243 Amy Shandy, Speech-Language Pathologist, LLC Occupational Therapist · Pueblo, CO NPI 1801493473 Buck Jack LLC Occupational Therapist · Pueblo, CO NPI 1912505116

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-28.