NPIMap

Organization Active NPI

Family & Restorative Dentistry

Doing business as Fulmer Dentistry

  • Dental Clinic/Center
  • Salem, WI
National Provider Identifier
1497276729
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3667 Issued in WI
Legal business name
FAMILY & RESTORATIVE DENTISTRY
Doing business as
Fulmer Dentistry
Practice address
7137 236TH Ave Ste 108
Salem, WI 53168-8975
Phone
(262) 843-4643
NPI assigned
Jun 27, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. James C Fulmer, DDSNPI 1982804134
Title
Dentist
Phone
(262) 945-2084

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
Dental Clinic/Center 261QD0000X 3667 WI Primary

Addresses

Primary practice location

7137 236TH Ave Ste 108
Salem, WI 53168-8975

Mailing address

7137 236TH Ave Ste 108
Salem, WI 53168-8975
Phone (262) 843-4643

Other practice location 1

2909 Roosevelt Rd
Kenosha, WI 53143-4641
Phone (262) 657-5408

Other names 1

  • Fulmer Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2909 Roosevelt Rd
Kenosha, WI 53143
Phone (262) 657-5408

7137 236th Ave
Ste 108
Salem, WI 53168
Phone (262) 843-4643

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1497276729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7137 236TH AVE STE 108",
            "city": "SALEM",
            "state": "WI",
            "postal_code": "531688975",
            "telephone_number": "262-843-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7137 236TH AVE STE 108",
            "city": "SALEM",
            "state": "WI",
            "postal_code": "531688975",
            "telephone_number": "262-843-4643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2909 Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531434641",
            "country_code": "US",
            "telephone_number": "262-657-5408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY & RESTORATIVE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "FULMER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "262-945-2084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "3667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fulmer Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.