John B Fulham Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21667 Issued in MA

Practice address

3854 Falmouth Rd
Marstons Mills, MA 02648

Phone

(508) 428-4929

Fax

(508) 420-2943

NPI assigned

Aug 23, 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

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841307337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WHITE CAP LANE",
            "city": "WEST BARNSTABLE",
            "state": "MA",
            "postal_code": "02668",
            "telephone_number": "508-360-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3854 FALMOUTH RD",
            "city": "MARSTONS MILLS",
            "state": "MA",
            "postal_code": "02648",
            "telephone_number": "508-428-4929",
            "fax_number": "508-420-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULHAM",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dinoia Speech & Language, LLC
• Stephen M Driscoll, DC
• Seth Alan Duguay, D.C.
• Alexis Michelle Fratus, JD, MSW
• Kate M Fredericks, RPH
• Elaine Mary Giniewicz, ED.D.
• Carol Gonzalez, LPN, DOULA
• Meghan L Grace
• Nichole Hart, PHARM. D.
• Pamela Smith Hoppe, FNP-BC

• General Practice Dentistry in Marstons Mills, MA
• Providers in Marstons Mills, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.