Organization Active NPI

Fulmer Chiropractic, PLLC

  • Chiropractor
  • Kingsport, TN
National Provider Identifier
1811252901
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1206 Issued in MS
Legal business name
FULMER CHIROPRACTIC, PLLC
Practice address
150 Clinic Dr Ste C
Kingsport, TN 37663-2254
Phone
(423) 726-2668
Fax
(423) 726-2667
NPI assigned
Jul 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Authorized official

Name
Dr. Connie D. Fulmer
Title
Chiropractic Physician
Phone
(423) 726-2668

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 1206 MS Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 0000002577 TN

Addresses

Primary practice location

150 Clinic Dr Ste C
Kingsport, TN 37663-2254

Mailing address

PO Box 6024
Kingsport, TN 37663-1024
Phone (423) 726-2668

National Provider Directory

National Provider Directory

Locations

2102 Forest Dr
Ste 4
Gray, TN 37615
Phone (423) 207-6055

150 Clinic Dr
Ste C
Kingsport, TN 37663
Phone (423) 726-2668

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1811252901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6024",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376631024",
            "telephone_number": "423-726-2668",
            "fax_number": "423-726-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CLINIC DR STE C",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632254",
            "telephone_number": "423-726-2668",
            "fax_number": "423-726-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULMER CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "FULMER",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "423-726-2668",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1206",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "0000002577",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.