Dr Norman E Fuller PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

251 Issued in AK

Legal business name

DR NORMAN E FULLER PC

Practice address

833 W Commercial Dr
Wasilla, AK 99654-6937

Phone

(907) 376-2475

Fax

(907) 373-5154

NPI assigned

Nov 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Norman Eugene Fuller, D.CNPI 1457440984

Title

Owner

Phone

(907) 376-2475

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alpine Chiropractic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Tax ID family

Alpine Chiropractic Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stephanie Hamilton

  • Massage Therapist
  • Wasilla, AK
  • NPI 1740646850
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Norman Eugene Fuller, D.C.

  • Chiropractor
  • Wasilla, AK
  • NPI 1457440984
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1609058957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 W COMMERCIAL DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546937",
            "telephone_number": "907-376-2475",
            "fax_number": "907-373-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 W COMMERCIAL DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546937",
            "telephone_number": "907-376-2475",
            "fax_number": "907-373-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR NORMAN E FULLER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-376-2475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH0251",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill Kristine Dowell, ARNP
• Garrett Downing
• Izaak Grant Downing, BS
• Michelle Downing, CDCA
• Dr Daniel W Larson PC
• Dylan Drahos
• Trisha Ann Drake, LMT
• Janelle Drakulich
• Meccala Draper, RN
• Ashley Droste

• Chiropractor in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.