Megan Misner Fulton, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4362 Issued in AR

Practice address

1310 W Walnut St Ste C
Rogers, AR 72756-3300

Phone

(479) 636-6807

NPI assigned

Jun 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Megan Louella Misner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• River Dental Farmington, PLLC

  • General Practice Dentistry
  • Farmington, AR
  • NPI 1447792759
  NPD (past)
• River Dental Rogers, PLLC

  • Dental Clinic/Center
  • Rogers, AR
  • NPI 1891273835
  NPD (past)

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1992365845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TER STE 250",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375619",
            "telephone_number": "918-988-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W WALNUT ST STE C",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563300",
            "telephone_number": "479-636-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "MEGAN",
        "middle_name": "MISNER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "MISNER",
            "middle_name": "LOUELLA",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Freeman-Burchfield and Welles Institute of Cognitive Behavioral Therap
• Fresh Roots, Inc.
• Douglas Lynn Friesen, MD
• Hailey Renee Frost, LPC
• Rodney A Fry
• Reagan Funkhouser, LCSW
• Amanda Gaffney
• Karla Kay Gaines, DDS
• Ornette L Gaines, M.D.
• Abigail Galicia

• Dentist in Rogers, AR
• Providers in Rogers, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.