Fuller Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1564 Issued in MA

Legal business name

FULLER CHIROPRACTIC, PC

Practice address

3 Baldwin Green CMN Ste 207
Woburn, MA 01801-1869

Phone

(781) 933-3332

Fax

(781) 933-2225

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Scott Edward Fuller, D.C.NPI 1871566232

Title

President

Phone

(781) 933-3332

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Edward Fuller, D.C.

  • Chiropractor
  • Woburn, MA
  • NPI 1871566232
  Medicare reassignment NPD Authorized official
• Kandyce Amanda Jean Mutter, D.C.

  • Chiropractor
  • Burlington, MA
  • NPI 1265672828
  NPD (past)

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1831337427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BALDWIN GREEN CMN STE 207",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011869",
            "telephone_number": "781-933-3332",
            "fax_number": "781-933-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BALDWIN GREEN CMN STE 207",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011869",
            "telephone_number": "781-933-3332",
            "fax_number": "781-933-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-933-3332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• FS Commonwealth LLC (New England Rehabilitation Hospital)
• FS Commonwealth LLC
• Ft Dental Corp
• Blake Fuchs, DC
• Lawrence James Fuhrman, MD
• Scott Edward Fuller, D.C.
• Albert L Fullerton, MD
• Haley Furano, MA
• Amy Furstenberg, OT
• Bianca Gizzi Fusco, MED, MS, CCC-SLP

• Chiropractor in Woburn, MA
• Providers in Woburn, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.