Organization Active NPI

Fuller & Associates VII PLLC

  • General Practice Dentistry
  • Clinton, NC
National Provider Identifier
1376132571
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FULLER & ASSOCIATES VII PLLC
Practice address
320 Northeast Blvd
Clinton, NC 28328-2424
Phone
(910) 596-0606
Fax
(910) 596-0610
NPI assigned
Jan 12, 2021
Last updated
Jul 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Authorized official

Name
Chad Rumley, SPHR
Title
Chief Operating Officer
Phone
(336) 586-5012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

320 Northeast Blvd
Clinton, NC 28328-2424

Mailing address

3450 Forestdale Dr
Burlington, NC 27215-9142
Phone (336) 586-5010

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1376132571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 FORESTDALE DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159142",
            "telephone_number": "336-586-5010",
            "fax_number": "336-586-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 NORTHEAST BLVD",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282424",
            "telephone_number": "910-596-0606",
            "fax_number": "910-596-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER & ASSOCIATES VII PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "RUMLEY",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "336-586-5012",
        "authorized_official_credential": "SPHR"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.