Elisa E Fulton, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN16260 Issued in MA

Practice address

33 Bedford St
Ste 15
Lexington, MA 02420-4319

Phone

(781) 862-9222

Fax

(781) 862-0074

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Endodontic Associates of Lexington

  • Endodontics
  • Lexington, MA
  • NPI 1427349372
  NPD (past) Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346360179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BEDFORD ST",
            "address_2": "STE 15",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204319",
            "telephone_number": "781-862-9222",
            "fax_number": "781-862-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BEDFORD ST",
            "address_2": "STE 15",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204319",
            "telephone_number": "781-862-9222",
            "fax_number": "781-862-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "ELISA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "DN16260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph B Freidin, MD
• Hannah Fried
• Stephanie Fritz
• Dany Jacques Omar Alejand Froedel Pier
• Nina Tamara Frusztajer, M.D.
• Jill Furumoto, LMHC
• Wendy C Gabrenya, LICSW
• Heather Gadourey, LATC
• Glen D Gaebe, M.D.
• Shreya Of Massachusetts Gajula

• Endodontics in Lexington, MA
• Providers in Lexington, MA by specialty
• Endodontics in Massachusetts

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.