William M.K. Fullmer, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

03493 Issued in MD

Practice address

10800 Lockwood Dr
Silver Spring, MD 20901-1554

Phone

(508) 697-5336

Fax

(508) 697-1599

NPI assigned

Sep 17, 2006

Last updated

Jul 8, 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Life Chiropractic Clinics Inc.

  • Rehabilitation Chiropractor
  • Silver Spring, MD
  • NPI 1750667945

  DC

  Medicare reassignment Authorized official
• Life Chiropractic of Silver Spring

  • Chiropractor
  • Silver Spring, MD
  • NPI 1619020500
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053418715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 APPLETREE CIR",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242932",
            "telephone_number": "508-697-5336",
            "fax_number": "508-697-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 LOCKWOOD DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011554",
            "telephone_number": "508-697-5336",
            "fax_number": "508-697-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLMER",
        "first_name": "WILLIAM",
        "middle_name": "M.K.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03493",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2173",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556486",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Frye
• Rose Fualem
• Ana E Fuentes
• Constance L. Fulda, RD
• John Edward Fuller, LCSW-C
• Claire Fultz, LCSW.C
• Virginia Funes, LCSW-C
• Vera Marie Funk
• Salman Funyas
• Philippine Nienga Fwani

• Chiropractor in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.