Jay D. Fullinwider, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3647 Issued in CO

Practice address

9898 Rosemont Ave
Suite 204
Lone Tree, CO 80124-4106

Phone

(303) 795-2300

NPI assigned

Apr 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• 303 Denver Chiropractic LLC

  • Chiropractor
  • Lone Tree, CO
  • NPI 1154661270
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242950400000",
    "number": "1831210459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9898 ROSEMONT AVE",
            "address_2": "SUITE 204",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801244106",
            "telephone_number": "303-795-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9898 ROSEMONT AVE",
            "address_2": "SUITE 204",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801244106",
            "telephone_number": "303-795-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLINWIDER",
        "first_name": "JAY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2009-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "3647",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CO",
            "license": "3647",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Fritzler, RN
• Front Range Spine and Neurosurgery
• Elizabeth A Fry, M.S.
• Michael Frye, COT
• Jiawei Fu
• Jenna Rose Funk, DPT
• Dennis Lee Furr, D.O.
• William Furr, PA
• Galansky Urology LLC
• Sarah M Gallegos, MSN, CNM

• Chiropractor in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.