Justin L Fulk, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-04997 Issued in KS

Practice address

609 Baptiste Dr
Paola, KS 66071-1334

Phone

(913) 294-3851

Fax

(913) 294-9033

NPI assigned

May 24, 2006

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 KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Sports Medicine

Education

Cleveland Chiropractic College - Kansas City, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fulk Chiropractic and Acupuncture, LLCGroup PAC ID 3173621497, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Fulk Chiropractic & Acupuncture, LLC

  • Chiropractor
  • Paola, KS
  • NPI 1215960166
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1831144906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 BAPTISTE DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711334",
            "telephone_number": "913-294-3851",
            "fax_number": "913-294-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 BAPTISTE DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711334",
            "telephone_number": "913-294-3851",
            "fax_number": "913-294-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULK",
        "first_name": "JUSTIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KS ID #",
            "identifier": "0000062244",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Colleen Foxworthy, MSPT
• Mark Frederick, P.T.
• Laura A Freeman
• Karen Lundgren Fritz, A.P.R.N., C.N.M.
• Fulk Chiropractic & Acupuncture, LLC
• Larry W Fulk, D.C
• George R Gage, O.D.
• Jihan Widad Gallegos, PHARMD
• Kari Alese Gaskell, NP
• Melissa Gilkison, PHARM D

• Chiropractor in Paola, KS
• Providers in Paola, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.