Active NPI
J Fuller Royston, DC
- Chiropractor
- Winston Salem, NC
National Provider Identifier
1124197652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2881
- Practice address
- 12201 N NC Highway 150 Ste 4
Winston Salem, NC 27127-9731 - Phone
- (336) 775-7600
- Fax
- (336) 775-7610
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2881 | NC | Primary |
Addresses
Primary practice location
12201 N NC Highway 150 Ste 4
Winston Salem, NC 27127-9731
Mailing address
12201 N NC Highway 150 Ste 4
Winston Salem, NC 27127-9731
Phone (336) 775-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2881 | NC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Spinal Care & Laser Therapy Center PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Winston Salem, NC
- NPI 1538428347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1124197652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12201 N NC HIGHWAY 150 STE 4",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271279731",
"telephone_number": "336-775-7600",
"fax_number": "336-775-7610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12201 N NC HIGHWAY 150 STE 4",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271279731",
"telephone_number": "336-775-7600",
"fax_number": "336-775-7610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYSTON",
"first_name": "J",
"middle_name": "FULLER",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.