DR. SHANDA MARIE FULLER D.C. - NPI 1912925298 - Chiropractor in Danville, CA

Q: What is Shanda Fuller's NPI number?

The NPI number for Shanda Fuller is 1912925298. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Shanda Fuller's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Shanda Fuller was last updated on October 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

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About Dr. Shanda Marie Fuller D.c. NPPES

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

DR. SHANDA MARIE FULLER D.C. (NPI 1912925298) is an individual chiropractor in Danville, California, licensed in California (DC27288) and active in the NPI registry since July 2006. She is a graduate of Palmer College Chiropractic - West Sunnyvale (2000).

NPPES Registry Identity

NPI1912925298

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameDR. SHANDA MARIE FULLERCredential: D.C.

Location Address565 SYCAMORE VALLEY RD WDanville, CA 94526-3900

Mailing Address565 Sycamore Valley Rd WDanville, CA 94526-3900 · (925) 837-5595 · Fax (925) 837-6558

Phone(925) 837-5595

Fax(925) 837-6558

Sole ProprietorNo

Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 2000

Enumeration DateJuly 17, 2006

Last NPPES UpdateOctober 28, 2010

✔ NPI 1912925298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · DC27288

Definition

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.

565 SYCAMORE VALLEY RD W, Danville, CA 94526

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Other Identifiers 1

Medicare UPINDC0272880CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shanda Marie Fuller D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648168427

PECOS Enrollment IDI20040304001307

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940

Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.

293 services28 patients

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY ELLIS CALL DC

Chiropractor