ROGER R FULLER JR. (NPI# 1134296163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134296163 |
| Entity Type | Individual |
| Full Name | ROGER R FULLER JR. |
| Credential | DC |
| Practice Address |
128 W Boston Chandler AZ 85225-7874 |
| Practice Telephone | 4809634473 |
| Practice Fax Number | 4809634513 |
| Mailing Telephone | 4809634473 |
| Mailing Fax Number | 4809634513 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3831 | AZ | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BCBSAZ | AZ0944910 | 01 |
| UN HEALTHCARE RAILROAD RE | P00112110 | 01 |
| Street Address |
128 W BOSTON |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85225-7874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528609724 | Marina Hinojos | Social Worker | 1205 E Frye Rd, Building A, Chandler, AZ 85225 | 2019-09-30 |
| 1396308854 | Fit Kids, Inc | Local Education Agency (LEA) | 250 S. Mcqueen Road, Chandler, AZ 85225 | 2019-04-19 |
| 1811489594 | Skyler Jay Smith | Dentist | 1992 E Ray Rd, Suite #2, Chandler, AZ 85225 | 2018-05-30 |
| 1881190049 | Novocur Surgery Center, LLC | Clinic/Center | 604 W. Warner Road, Building A, Chandler, AZ 85225 | 2018-04-04 |
| 1467961292 | Shameka Uzell Rodriguez | Licensed Practical Nurse | 2222 N Mcqueen Rd, 1068, Chandler, AZ 85225 | 2017-09-25 |
| 1174069546 | Cynthia Taylor | Contractor | 2800 N Arizona Ave Ste 229, Chandler, AZ 85225 | 2017-01-10 |
| 1134679582 | Rebecca Nelson | Specialist/Technologist | 860 N. Mcqueen Rd., Unit 1142, Chandler, AZ 85225 | 2016-10-10 |
| 1134675077 | Anything Is Possible Youth & Family Services, LLC | Community/Behavioral Health | 128 West Boxelder Place, Suite #101, Chandler, AZ 85225 | 2016-08-31 |
| 1871954255 | Jillian Perna | Occupational Therapist | 3310 N Sunridge Ln, Chandler, AZ 85225 | 2016-03-14 |
| 1922482017 | Advanced Neurologic Rehabilitation | Clinic/Center | 3160 N. Arizona Ave, Suite 106, Chandler, AZ 85225 | 2015-07-17 |
| Find all providers in zip 85225 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293058 | Modern Chiropractic Company Pllc | Chiropractor | 670 N 54th St Ste 1, Chandler, AZ 85226-1529 | 2020-10-20 |
| 1720562135 | Daniel Markus | Chiropractor | 2815 E Ocotillo Rd Ste 4, Chandler, AZ 85249-6040 | 2018-09-21 |
| 1487134508 | Back & Beyond LLC | Chiropractor | 1655 W Chandler Blvd Ste 4, Chandler, AZ 85224-6284 | 2018-08-17 |
| 1396230231 | Michael Kenneth Pierce | Chiropractor | 3165 S Alma School Rd # 1920, Chandler, AZ 85248-3760 | 2018-06-23 |
| 1992299952 | Alanna Jean Pierce | Chiropractor | 3165 S Alma School Rd Ste 1920, Chandler, AZ 85248-3760 | 2018-06-21 |
| 1770097636 | Revive Chiropractic LLC | Chiropractor | 908 W Chandler Blvd Ste B-3, Chandler, AZ 85225-2549 | 2017-11-29 |
| 1538692470 | Ocotillo Medical Group LLC | Chiropractor | 2815 E. Ocotillo Rd, #4, Chandler, AZ 85233 | 2017-04-07 |
| 1487105557 | Abundant Health Medical Pllc | Chiropractor | 4913 S Alma School Rd, Ste 4, Chandler, AZ 85248-5630 | 2016-10-24 |
| 1548710957 | Stephanie Benz | Chiropractor | 1759 E Queen Creek Rd Ste 2, Chandler, AZ 85286-2010 | 2016-10-10 |
| 1750739520 | Convenient Chiropractic Inc | Chiropractor | 5950 S Cooper Rd Ste 1, Chandler, AZ 85249-2221 | 2016-06-02 |
| Find all providers in CHANDLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.