John David Fulkerson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9985 Issued in TX

Practice address

132 N Armstrong Ave
Tulia, TX 79088-2232

Phone

(806) 995-4699

Fax

(806) 995-4706

NPI assigned

Oct 17, 2005

Last updated

Oct 18, 2007By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• John D Fulkerson, DC PA

  dba Tulia Family Chiropractic

  • Chiropractor
  • Tulia, TX
  • NPI 1083603658
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1649269200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 283",
            "city": "TULIA",
            "state": "TX",
            "postal_code": "790880283",
            "telephone_number": "806-995-4699",
            "fax_number": "806-995-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 N ARMSTRONG AVE",
            "city": "TULIA",
            "state": "TX",
            "postal_code": "790882232",
            "telephone_number": "806-995-4699",
            "fax_number": "806-995-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULKERSON",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL BCBS",
            "identifier": "8U0840",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toby Jay Brown, OD
• Neil A Bryson, DDS
• Childress County Hospital District (Tulia Health and Rehabilitation Center)
• Tiffany Marie De Leon, RN
• Dr. Omar Harmouche PLLC (Dr. Neil Bryson DDS)
• Kimberly Dawn George, FNP-C
• Osama Habeel, DDS
• Happy Independent School District
• Omar Harmouche, DMD, MPH
• Susan Hayes

• Chiropractor in Tulia, TX
• Providers in Tulia, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.