Maria Del Rosario Reyna Fuller, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08458 Issued in IA

Practice address

2244 Loomis Ave
Corning, IA 50841

Phone

(641) 322-3737

Fax

(641) 322-3377

NPI assigned

Jun 19, 2007

Last updated

Sep 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Fuller Family Dental, PLC

  • Dentist
  • Corning, IA
  • NPI 1477751576
  Authorized official Same address or phone

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1720283757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2264 QUARRY ROAD",
            "city": "CORNING",
            "state": "IA",
            "postal_code": "50841",
            "telephone_number": "641-322-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 LOOMIS AVE",
            "city": "CORNING",
            "state": "IA",
            "postal_code": "50841",
            "telephone_number": "641-322-3737",
            "fax_number": "641-322-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNA FULLER",
        "first_name": "MARIA",
        "middle_name": "DEL ROSARIO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley A Neils, M. D.
• Julie Kay Orme, OTR/L
• Clarissa Ashley Ortiz, MD
• Robert Delaine Peterson, DDS
• Tony C Pham
• Robert H. Sharp, O.D., PC (Family Vision Center)
• Melissa Saltzman, DPT
• Greg Schuelke, PHARMD
• Mark Otis Shearer, PT
• Jill Dawn Shuler, PTA

• General Practice Dentistry in Corning, IA
• Providers in Corning, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.