David B Fulks, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30023039 Issued in OH

Practice address

2607 E Main St
Bexley, OH 43209-2445

Phone

(614) 237-3781

NPI assigned

Jul 29, 2010

Last updated

Dec 13, 2019By the provider in NPPES

Sex

Male

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David B. Fulks DDS LLC

  • Dentist
  • Bexley, OH
  • NPI 1255861621
  NPD Authorized official
• Fulks Dental Inc

  • General Practice Dentistry
  • Columbus, OH
  • NPI 1386096394
  NPD (past) Authorized official

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1508170713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 ALLENTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051749",
            "telephone_number": "419-228-4036",
            "fax_number": "419-228-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 E MAIN ST",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432092445",
            "telephone_number": "614-237-3781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Norton Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432281711",
            "country_code": "US",
            "telephone_number": "614-870-3337",
            "fax_number": "614-870-3337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULKS",
        "first_name": "DAVID",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-29",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30023039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diversified Health Management, Inc. (DHM Agency)
• Hershel Eli Dobkin, MD
• Tatiana Wanda Douglas
• Family First Home Health LLC
• Anderson Frederick II, MSW, LISW
• Theresa D Garrett-Bell, APRN PMHNP-BC
• Julia Rae Geldis, O.D.
• Goodwin and Goodwin
• Lesley Anne Greenwood
• Larry D. Haas

• Dentist in Bexley, OH
• Providers in Bexley, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.