Thomas P Fullerton, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

383 Issued in MT

Practice address

720 2ND St E
Kalispell, MT 59901-4678

Phone

(406) 257-7463

Fax

(406) 257-7466

NPI assigned

Nov 13, 2006

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 MT

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Advanced Chiropractic Inc.

  • Clinic/Center
  • Kalispell, MT
  • NPI 1710218219
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104997071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 2ND ST E",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014678",
            "telephone_number": "406-257-7463",
            "fax_number": "406-257-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 2ND ST E",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014678",
            "telephone_number": "406-257-7463",
            "fax_number": "406-257-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLERTON",
        "first_name": "THOMAS",
        "middle_name": "P",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0161041",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norman M Friedman, MD
• Richard Friedman, M.D.
• Becky Frogge, RN
• Full Cup Medicine, PLLC
• Laurel Allison Fullerton, P.T.
• Functional Medicine Associates of Montana
• Funderburk Psychological Services
• Glenda M. Funk, M.S., CCC-SLP
• Gabriel R Perjessy
• Trent Gahl, OT

• Chiropractor in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Chiropractor in Montana

• 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.