Ross B Fuller, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

615 Issued in WY

Practice address

223 E Main St
Lovell, WY 82431-2101

Phone

(307) 548-9338

Fax

(307) 548-9335

NPI assigned

Aug 12, 2006

Last updated

Dec 10, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Yellowstone Chiropractic PCGroup PAC ID 2668410424, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yellowstone Chiropractic, PC

  • Chiropractor
  • Lovell, WY
  • NPI 1497767115
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1043222748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 E MAIN ST",
            "city": "LOVELL",
            "state": "WY",
            "postal_code": "824312101",
            "telephone_number": "307-548-9338",
            "fax_number": "307-548-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E MAIN ST",
            "city": "LOVELL",
            "state": "WY",
            "postal_code": "824312101",
            "telephone_number": "307-548-9338",
            "fax_number": "307-548-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "ROSS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "313386",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiana Ellison
• Chad Collins Emmett, RPH
• Kenneth W. Ferbrache, P.A.
• Wendy Files
• Katherine Fink
• Lucas Grant, MS, LPC, NCC
• Dawn Irene Hardwick, DNP, FNP-BC
• Nicole Hendershot
• Hoffman Snyder TLC, LLC (Hoffman Snyder TLC)
• Jacob G. Despain OD PC (Family Vision Clinic)

• Chiropractor in Lovell, WY
• Providers in Lovell, WY by specialty
• Chiropractor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.