Fuller Chiropractic Offices PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH3550 Issued in FL

Legal business name

FULLER CHIROPRACTIC OFFICES PA

Practice address

501 N Orlando Ave
Suite 151
Winter Park, FL 32789-7313

Phone

(407) 599-5555

Fax

(407) 599-0692

NPI assigned

Jan 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Fuller, D.CNPI 1235336967

Title

Owner/Doctor

Phone

(407) 599-5555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Joseph Edward Fuller, D.C.

  • Chiropractor
  • Winter Park, FL
  • NPI 1235336967
  Medicare reassignment NPD Authorized official
• Nicholas Fuller

  • Chiropractor
  • Winter Park, FL
  • NPI 1356221212
  NPD (past)

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1538430848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N ORLANDO AVE",
            "address_2": "SUITE 151",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897313",
            "telephone_number": "407-599-5555",
            "fax_number": "407-599-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N ORLANDO AVE",
            "address_2": "SUITE 151",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897313",
            "telephone_number": "407-599-5555",
            "fax_number": "407-599-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER CHIROPRACTIC OFFICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "407-599-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delfin J Fuentes, M.D.
• Delia E. Fuentes, LCSW
• Full Bloom Speech Therapy LLC (Full Bloom Speech Therapy)
• Full Spine Chiropractic, LLC
• Teresa Marie Fullan, MSW
• Barbara Jo Fuller, MS
• Joseph Edward Fuller, D.C.
• Nicholas Fuller
• Nicole Funchion
• Functional Independence Training Corp.

• Chiropractor in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.