Active NPI
James Charles Fulmer, D.D.S.
- General Practice Dentistry
- Salem, WI
National Provider Identifier
1982804134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3667
- Practice address
- 7137 236TH Avenue
Suite 108
Salem, WI 53168-8808 - Phone
- (262) 843-4643
- NPI assigned
- Jul 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3667 | WI | Primary |
Addresses
Primary practice location
7137 236TH Avenue
Suite 108
Salem, WI 53168-8808
Mailing address
7137 236TH Avenue
Suite 108
Salem, WI 53168-8808
Phone (262) 843-4643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3667 | WI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family & Restorative Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Salem, WI
- NPI 1497276729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1982804134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7137 236TH AVENUE",
"address_2": "SUITE 108",
"city": "SALEM",
"state": "WI",
"postal_code": "531688808",
"telephone_number": "262-843-4643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7137 236TH AVENUE",
"address_2": "SUITE 108",
"city": "SALEM",
"state": "WI",
"postal_code": "531688808",
"telephone_number": "262-843-4643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULMER",
"first_name": "JAMES",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-24",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "3667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.