DR. CLAYTON SCOTT FULLER D.D.S.
NPI 1891821765
Dentist - Orthodontics and Dentofacial Orthopedics in Chula Vista, CA

Active since February 26, 2007PECOS Enrolled
589 3RD AVE, CHULA VISTA, CA 91910(619) 422-3223(619) 422-7777 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Clayton Scott Fuller D.d.s. NPPES

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

DR. CLAYTON SCOTT FULLER D.D.S. (NPI 1891821765) is an individual orthodontics and dentofacial orthopedics provider in Chula Vista, California, licensed in California (34101) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891821765
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. CLAYTON SCOTT FULLERCredential: D.D.S.
Location Address589 3RD AVEChula Vista, CA 91910-5619
Mailing Address589 3rd AveChula Vista, CA 91910-5619 · (619) 422-3223 · Fax (619) 422-7777
Fax(619) 422-7777
Sole ProprietorYes
Enumeration DateFebruary 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1891821765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License✔ Licensed in CA · 34101
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
589 3RD AVE, Chula Vista, CA 91910

Other Identifiers 1

OtherB34101-01CA · Denti-cal

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Clayton Scott Fuller D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Clayton Fuller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
678 3RD AVE
Chula Vista, CA 91910
  • Reassigned Medicare billing, California enrollment
  • 577 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91910 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Clayton Fuller's NPI number?

The NPI number for Clayton Fuller is 1891821765. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Clayton Fuller located?

Clayton Fuller practices at 589 3rd Ave, Chula Vista, CA 91910. The listed phone number is (619) 422-3223.

What is Clayton Fuller's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Clayton Fuller enrolled in Medicare?

Yes. Clayton Fuller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Clayton Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clayton Fuller reassigns Medicare benefits to Centro De Salud De La Comunidad De San Ysidro, Inc. (Chula Vista, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clayton Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clayton Fuller accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Clayton 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 Clayton Fuller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.