Joseph Edward Fuller, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH3550 Issued in FL

Practice address

501 N Orlando Ave Ste 151
Winter Park, FL 32789-2997

Phone

(407) 599-5555

Fax

(407) 599-0692

NPI assigned

Jun 27, 2007

Sex

Male

Sole proprietor

No

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 FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Fuller Chiropractic Offices PA

  • Chiropractor
  • Winter Park, FL
  • NPI 1538430848
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235336967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MAYFIELD AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892009",
            "telephone_number": "321-439-9080",
            "fax_number": "407-599-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N ORLANDO AVE STE 151",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892997",
            "telephone_number": "407-599-5555",
            "fax_number": "407-599-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Full Bloom Speech Therapy LLC
• Full Spine Chiropractic, LLC
• Teresa Marie Fullan, MSW
• Fuller Chiropractic Offices PA
• Barbara Jo Fuller, MS
• Nicholas Fuller
• Nicole Funchion
• Functional Independence Training Corp.
• Lidice Fundora Perez
• Paul Christopher Furey, D.C.

• Chiropractor in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Chiropractor in Florida

• 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.