IAN FULLER DDS
NPI 1457078677
Dentist - General Practice in Alameda, CA

Active since October 27, 2022
2241 CENTRAL AVE STE B, ALAMEDA, CA 94501(510) 865-4400 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 8, 2025, Nov 22, 2023, Oct 27, 2022 (3 updates tracked since 2022).

About Ian Fuller Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IAN FULLER DDS (NPI 1457078677) is an individual general practice provider in Alameda, California, licensed in California (DDS108278) and active in the NPI registry since October 2022. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457078677
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameIAN FULLERCredential: DDS
Location Address2241 CENTRAL AVE STE BAlameda, CA 94501-4430
Mailing Address2159 Encinal AveAlameda, CA 94501-4321
Sole ProprietorYes
Enumeration DateOctober 27, 2022
Last NPPES UpdateJanuary 8, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
NPI 1457078677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · DDS108278
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2241 CENTRAL AVE STE B, Alameda, CA 94501

Secondary Practice Locations 2

Location 11504 Alcatraz AveBerkeley, CA 94703-2610 · Phone (510) 653-6424
Location 22380 Monument Blvd Ste FPleasant Hill, CA 94523-3972 · Phone (925) 363-4455

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ian Fuller's NPI number?

The NPI number for Ian Fuller is 1457078677. It was assigned to this individual provider in the NPPES registry on October 27, 2022.

Where is Ian Fuller located?

Ian Fuller practices at 2241 Central Ave Ste B, Alameda, CA 94501. The listed phone number is (510) 865-4400.

What is Ian Fuller's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Ian Fuller accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Ian Fuller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ian Fuller was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.