David Christopher Fultz, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC010678 Issued in PA

Practice address

5321 Main Rd
Sweet Valley, PA 18656-2340

Phone

(570) 477-2778

Fax

(570) 477-3572

NPI assigned

Dec 21, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Fultz Family Chiropractic LLC

  • Chiropractor
  • Sweet Valley, PA
  • NPI 1528470093
  Medicare reassignment NPD Authorized official
• James a Kliamovich II

  • Chiropractor
  • Sweet Valley, PA
  • NPI 1528400991
  NPD (past)

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1588900435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 MAIN RD",
            "address_2": "PO BOX 334",
            "city": "SWEET VALLEY",
            "state": "PA",
            "postal_code": "186562340",
            "telephone_number": "570-477-2778",
            "fax_number": "570-477-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 MAIN RD",
            "city": "SWEET VALLEY",
            "state": "PA",
            "postal_code": "186562340",
            "telephone_number": "570-477-2778",
            "fax_number": "570-477-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTZ",
        "first_name": "DAVID",
        "middle_name": "CHRISTOPHER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-21",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD/FPLIC",
            "identifier": "002761629",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "830982",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen M Buerger Talacka, DC
• Sharon Marie Clark, LPC
• Fairmount Township Volunteer Fire Co No 1
• Fultz Family Chiropractic LLC
• Functional Connections, LLC
• James a Kliamovich II
• Stephanie Jean Jones
• James Adam Kliamovich II, D.C.
• Meghan Elizabeth Maccarone, OTR/L

• Chiropractor in Sweet Valley, PA
• Providers in Sweet Valley, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.