Active NPI
David Waring Fulton, D.C.
- Chiropractor
- Pensacola, FL
National Provider Identifier
1699745281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH7205
- Practice address
- 2122 W Nine Mile Rd
Pensacola, FL 32534-9464 - Phone
- (850) 473-5555
- Fax
- (850) 473-5505
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH7205 | FL | Primary |
Addresses
Primary practice location
2122 W Nine Mile Rd
Pensacola, FL 32534-9464
Mailing address
2122 W Nine Mile Rd
Pensacola, FL 32534-9464
Phone (850) 473-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55478Y | Other | FL | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH7205 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WRJ Chiropractic, PLLC | Chiropractor | Current | Accepting new patients |
Locations
1320 N McKenzie St
Foley, AL 36535
Phone (251) 943-8630
Organizations & group practices 1
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.
-
- Chiropractor
- Foley, AL
- NPI 1619624558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441670400000",
"number": "1699745281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 W NINE MILE RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325349464",
"telephone_number": "850-473-5555",
"fax_number": "850-473-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2122 W NINE MILE RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325349464",
"telephone_number": "850-473-5555",
"fax_number": "850-473-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTON",
"first_name": "DAVID",
"middle_name": "WARING",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2015-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH7205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "55478Y",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.