Active NPI
Ryan Michael Fulchi, DMD
- Dentist
- Savannah, GA
National Provider Identifier
1639490675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN014084
- Practice address
- 2515 Habersham St
Savannah, GA 31401-9346 - Phone
- (912) 234-2206
- Fax
- (912) 238-1522
- NPI assigned
- Jun 14, 2010
- Last updated
- Jun 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN014084 | GA | Primary |
Addresses
Primary practice location
2515 Habersham St
Savannah, GA 31401-9346
Mailing address
430 Peachtree Dr
Rincon, GA 31326-4889
Phone (706) 461-6781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150709001989 | GA | Order and Referring Only - Oral Surgery | 0547572158 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Islands Family Dental, LLC | Dentist | Current | Accepting new patients |
| 310Habershamdental LLC | Dentist | Current | Accepting new patients |
| Habersham Dental of Savannah LLC | Current | Accepting new patients | |
| Habersham Dental Partners, LLC | Past | Accepting new patients |
Locations
2515 Habersham St
Savannah, GA 31401
Phone (912) 234-2206
Organizations & group practices 4
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.
-
- Dentist
- Savannah, GA
- NPI 1154920445
-
- Dentist
- Savannah, GA
- NPI 1760966295
-
- General Practice Dentistry
- Savannah, GA
- NPI 1902370158
-
- General Practice Dentistry
- Savannah, GA
- NPI 1821251299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276473600000",
"number": "1639490675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 PEACHTREE DR",
"city": "RINCON",
"state": "GA",
"postal_code": "313264889",
"telephone_number": "706-461-6781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 HABERSHAM ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314019346",
"telephone_number": "912-234-2206",
"fax_number": "912-238-1522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULCHI",
"first_name": "RYAN",
"middle_name": "MICHAEL",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-14",
"last_updated": "2010-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN014084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.