Fuller & Associates IX PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FULLER & ASSOCIATES IX PLLC

Practice address

2660 NC Highway 210 E Ste 103
Hampstead, NC 28443-8110

Phone

(910) 541-2155

NPI assigned

Jan 12, 2021

Organization subpart

No

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

Authorized official

Name

Chad Rumley, SPHR

Title

Chief Operating Officer

Phone

(336) 586-5012

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1790374999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 FORESTDALE DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159142",
            "telephone_number": "336-586-5010",
            "fax_number": "336-586-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 NC HIGHWAY 210 E STE 103",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284438110",
            "telephone_number": "910-541-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER & ASSOCIATES IX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "RUMLEY",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "336-586-5012",
        "authorized_official_credential": "SPHR"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Fortier
• Dominic Foster, OTR/L
• Sharon Costello Foster
• Adam Frank, D.D.S
• Paige Full, DMD
• Futrell Coastal Roots
• Laura Beatty Jennings Futrell, OTR/L
• Shyam Lal Garg, M.D.
• Patricia Ann Geel, MA, LMFT
• Adrianne Lynn Geisler, MS OTR/L

• General Practice Dentistry in Hampstead, NC
• Providers in Hampstead, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.