Fuller & Associates, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FULLER & ASSOCIATES, P.A.

Practice address

109 Conner Dr Ste 2100
Chapel Hill, NC 27514-7041

Phone

(919) 442-1670

Fax

(919) 442-1675

NPI assigned

Sep 19, 2017

Last updated

Dec 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chad Rumley

Title

Practice Administrator

Phone

(336) 343-4543

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1962921205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 FORESTDALE DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159142",
            "telephone_number": "336-629-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CONNER DR STE 2100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147041",
            "telephone_number": "919-442-1670",
            "fax_number": "919-442-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER & ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "RUMLEY",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "336-343-4543",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Young Frye, MS, LCMHC, CRC
• Xiao Fu
• Jennifer Lauren Fuchs, MD
• Seyram S Fudzie
• Full Potential Health and Wellness, Incorporated
• Deja Fuller
• Edwin R Fuller III, MD
• Jessica Scott Fuller, M.D.
• Glynis Wikstrom Fullwood, LCSW
• Phillip Fullwood, M.D.

• General Practice Dentistry in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.