Fullmer Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7563542-1202 Issued in UT

Legal business name

FULLMER CHIROPRACTIC

Practice address

1652 S Highway 165
Providence, UT 84332-6701

Phone

(435) 752-5522

Fax

(435) 752-3075

NPI assigned

Mar 31, 2010

Last updated

Mar 31, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Owen Fullmer, D.C.NPI 1134451529

Title

Owner

Phone

(435) 752-5522

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Owen Fullmer, D.C.

  • Chiropractor
  • Providence, UT
  • NPI 1134451529
  Authorized official Same address or phone

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1184949349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 S HIGHWAY 165",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843326701",
            "telephone_number": "435-752-5522",
            "fax_number": "435-752-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 S HIGHWAY 165",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843326701",
            "telephone_number": "435-752-5522",
            "fax_number": "435-752-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLMER CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "FULLMER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-752-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7563542-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Fisher, PA-C
• Laura Burgher Fisher, MD
• Mylee Brooke Fox
• Dallan Curtis Fraughton, RBT
• Chris James Frogley, DC
• Thomas Owen Fullmer, D.C.
• Ryan Kelley Galloway
• Camryn Marie Gardner
• Steven Scott Garvert, D.C.
• Gateway Dental LLC

• Chiropractor in Providence, UT
• Providers in Providence, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.