Zachariah Ronald Fulmore, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3328 Issued in KY

Practice address

3606 Klondike LN
Louisville, KY 40218-1711

Phone

(502) 451-3931

NPI assigned

May 6, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902018328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NICKLEBY WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402454066",
            "telephone_number": "502-245-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 KLONDIKE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181711",
            "telephone_number": "502-451-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULMORE",
        "first_name": "ZACHARIAH",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "3328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Fuller
• Lynn Z Fuller, RPH
• Sarah Catherine Fuller, RN IBCLC
• Weldon Fuller
• Zachary Allen Fuller
• Carmen Rosella Fulton-Fox, ASSOCIATE
• Mallory Fulton
• Rodney Brent Fultz, DMD DENTIST
• Sharon Lee Fultz
• Raphael Fumey, PHD

• General Practice Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Dentistry in Kentucky

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.