Active NPI
Joseph Allan Fuller, D.C.
- Chiropractor
- Red Lion, PA
National Provider Identifier
1992770531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-002379-L
- Practice address
- 631 Lombard Rd
Red Lion, PA 17356-9054 - Phone
- (717) 840-0888
- Fax
- (717) 840-4369
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-002379-L | PA | Primary |
Addresses
Primary practice location
631 Lombard Rd
Red Lion, PA 17356-9054
Mailing address
631 Lombard Rd
Red Lion, PA 17356-9054
Phone (717) 840-0888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
631 Lombard Rd
Red Lion, PA 17356-9054
Phone (717) 840-0888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-002379-L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Lion Chiropractic, Inc. | Chiropractor | Current | Accepting new patients |
| Pennsylvania Comprehensive Behavioral Health Services, LLC | Past | Accepting new patients |
Locations
631 Lombard Rd
Red Lion, PA 17356
Phone (717) 840-0888
2555 Cape Horn Rd
Red Lion, PA 17356
Phone (717) 600-0900
Organizations & group practices 2
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.
-
- Chiropractor
- Red Lion, PA
- NPI 1497785638
-
- Adolescent and Children Mental Health Clinic/Center
- Red Lion, PA
- NPI 1114980489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1992770531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 LOMBARD RD",
"city": "RED LION",
"state": "PA",
"postal_code": "173569054",
"telephone_number": "717-840-0888",
"fax_number": "717-840-4369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 LOMBARD RD",
"city": "RED LION",
"state": "PA",
"postal_code": "173569054",
"telephone_number": "717-840-0888",
"fax_number": "717-840-4369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "JOSEPH",
"middle_name": "ALLAN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC-002379-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Red Lion, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.