NPIMap

Organization Active NPI

Fuller Family Chiropractic

  • Chiropractor
  • North Wales, PA
National Provider Identifier
1306045687
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008807 Issued in PA
Legal business name
FULLER FAMILY CHIROPRACTIC
Practice address
1218 Welsh Rd
Suite C
North Wales, PA 19454-2055
Phone
(215) 393-1117
Fax
(215) 393-4464
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
David Fuller, DCNPI 1629135942
Title
Chiropractor
Phone
(215) 393-1117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC008807 PA Primary

Addresses

Primary practice location

1218 Welsh Rd
Suite C
North Wales, PA 19454-2055

Mailing address

1218 Welsh Rd
Suite C
North Wales, PA 19454-2055
Phone (215) 393-1117

Other identifiers 1

IdentifierTypeStateIssuer
2797170000OtherPAIBC GROUP

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1306045687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 WELSH RD",
            "address_2": "SUITE C",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542055",
            "telephone_number": "215-393-1117",
            "fax_number": "215-393-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 WELSH RD",
            "address_2": "SUITE C",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542055",
            "telephone_number": "215-393-1117",
            "fax_number": "215-393-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "215-393-1117",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC GROUP",
            "identifier": "2797170000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wales, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.

Verify at the official NPI Registry.