Matthew John Fuller, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33457 Issued in CA

Practice address

3727 Buchanan Street
203
San Francisco, CA 95134

Phone

(415) 563-1655

Fax

(415) 563-1697

NPI assigned

Mar 11, 2016

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Brantner Sports Chiropractic, Apc

  • Sports Physician Chiropractor
  • San Francisco, CA
  • NPI 1336973890
  NPD (past)

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1043671431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 BUCHANAN STREET",
            "address_2": "203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "95134",
            "telephone_number": "415-563-1655",
            "fax_number": "415-563-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 BUCHANAN STREET",
            "address_2": "203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "95134",
            "telephone_number": "415-563-1655",
            "fax_number": "415-563-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Fuller
• K'Chelle Mari Fuller, SUD
• Kendra Fuller
• Kishi Fuller, MFT
• Lauren Fuller
• Robin Louise Fuller, RN
• Stanley Fuller, AMFT
• Wayzel Fuller, PHARMD.
• Heather J. Fullerton, MD
• John Fullerton, M.D.

• Chiropractor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.