JEFFREY FULLER (NPI# 1730517368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730517368 |
| Entity Type | Individual |
| Full Name | JEFFREY FULLER |
| Practice Address |
3824 Cedar Springs Rd # 433 Dallas TX 75219-4136 |
| Practice Telephone | 2143065401 |
| Practice Fax Number | 2142069073 |
| Mailing Telephone | 2143065401 |
| Mailing Fax Number | 2142069073 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT032534 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356343917 | Jeffrey J Fuller | Ophthalmology | 250 State Farm Pkwy, Birmingham, AL 35209-7181 | 2005-08-12 |
| 1679013296 | Jeffrey Fuller | Counselor | 98 Cumberland St, Bangor, ME 04401-5234 | 2017-03-01 |
| 1871731935 | Jeffrey S Fuller | Nurse Practitioner | 1406 W Bella Drive, Marion, IN 46953-5229 | 2009-01-28 |
| Street Address |
3824 CEDAR SPRINGS RD # 433 |
| City | DALLAS |
| State | TX |
| Zip Code | 75219-4136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013304062 | Smartccm LLC | Case Management | 3824 Cedar Springs Rd # 433, Dallas, TX 75219-4136 | 2015-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421666 | Jennifer Henry Furlong | Counselor | 3500 Oak Lawn Ave Ste 720, Dallas, TX 75219 | 2019-11-14 |
| 1174082150 | Cmdpn Medical Group of Texas, P.a. | Clinic/Center | 3838 Oak Lawn Ave, Suite 1000, Pmb 1123, Dallas, TX 75219 | 2019-03-18 |
| 1245700871 | Reginald Deloatch | Day Training/Habilitation Specialist | 4123 Cedar Springs Roafd, Apt. 2332, Dallas, TX 75219 | 2018-11-27 |
| 1255815429 | Elk Monitoring,pllc | Electrodiagnostic Medicine | 4848 Lemmon Ave Suite 100 #321, Highland Park, TX 75219 | 2018-09-24 |
| 1255811154 | Matias Haller | Physical Therapist | 3131 Rurtle Creek Blvd, #615, Dallas, TX 75219 | 2018-08-20 |
| 1750861795 | Darya Semenyuk | Counselor | 3720 Rawlins St. Suite I, Dallas, TX 75219 | 2018-08-20 |
| 1144716580 | My Health & Homecare Transportation Inc | Non-emergency Medical Transport (VAN) | 3710 Rawlins St Ste 1420, Dallas, TX 75219 | 2018-07-09 |
| 1750876785 | David Dwayne Weir | Registered Nurse | 3883 Turtle Creek Blvd Apt 818, Dallas, TX 75219 | 2018-06-22 |
| 1053802264 | Stem Cell Pros LLC | Durable Medical Equipment & Medical Supplies | 4100 Harry Hines Blvd Ste 300, Dallas, TX 75219 | 2018-05-23 |
| 1346749231 | White Dental Limited Company Pllc | Clinic/Center | 3878 Oak Lawn Avenue Suite 310, Dallas, TX 75219 | 2018-02-06 |
| Find all providers in zip 75219 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215743 | Stephanie S Bell | Massage Therapist | 5415 Parry Ave, Dallas, TX 75223-1856 | 2020-11-07 |
| 1225637846 | Just Breathe Massage and Wellness LLC | Massage Therapist | 7200 N Stemmons Fwy Apt 908, Dallas, TX 75247-5032 | 2020-10-23 |
| 1679170658 | Stephanie R Stigers | Massage Therapist | 3214 Nebraska Ave, Dallas, TX 75216-5328 | 2020-10-03 |
| 1841806650 | Sasha Danielle Rogers | Massage Therapist | 4230 Lyndon B Johnson Fwy # 200n, Dallas, TX 75244-5806 | 2020-09-17 |
| 1194338939 | Victoria Hill | Massage Therapist | 4594 W Kiest Blvd Apt 2111, Dallas, TX 75236-2643 | 2020-08-30 |
| 1295348191 | Mia Walker | Massage Therapist | 1647 Bending Oaks Trl, Dallas, TX 75217-2625 | 2020-08-28 |
| 1568073690 | Joshua Tharian | Massage Therapist | 13938 Peyton Dr, Apt 114, Dallas, TX 75240-3655 | 2020-08-12 |
| 1770193955 | Tammie White | Massage Therapist | 15340 Dallas Pkwy Ste 2220, Dallas, TX 75248-4637 | 2020-08-03 |
| 1841830346 | Nakeeta Shanee Smith | Massage Therapist | 7502 Campbell Rd., Suite 24, Dallas, TX 75248-1704 | 2020-01-13 |
| 1073155602 | Njy International LLC | Massage Therapist | 2695 Villa Creek Dr Ste 205, Dallas, TX 75234-7329 | 2019-10-15 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on JEFFREY FULLER.
| 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.