DR. NORMAN DARTT FULLER III (NPI# 1154549988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154549988 |
| Entity Type | Individual |
| Full Name | DR. NORMAN DARTT FULLER III |
| Credential | D.D.S. |
| Practice Address |
1701 Lundy Ave Ste 150 San Jose CA 95131-1858 |
| Practice Telephone | 4084378999 |
| Practice Fax Number | 4084378898 |
| Mailing Telephone | 4084378999 |
| Mailing Fax Number | 4084378898 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2015-06-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
38285 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861907008 | Norman Fuller | Counselor | 1700 Airport Way S., Seattle, WA 98134 | 2017-12-11 |
| 1457440984 | Norman Eugene Fuller | Chiropractor | 833 W Commercial Dr, Wasilla, AK 99654-6937 | 2006-10-12 |
| Street Address |
1701 LUNDY AVE STE 150 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95131-1858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346881489 | Herbal Lands Inc | Acupuncturist | 2485 Autumnvale Dr, Ste D, San Jose, CA 95131 | 2019-09-30 |
| 1194373340 | Leylard Santos Caballes | Home Health Aide | 2272 Zoria Circle, San Jose, CA 95131 | 2019-08-30 |
| 1851953848 | Nu Herbal House | Chiropractor | 2092 Concourse Dr #85, San Jose, CA 95131 | 2019-07-01 |
| 1316417900 | Peter Cellarius | Behavior Technician | 2010 N. First St. Ste 402, San Jose, CA 95131 | 2018-11-27 |
| 1285103697 | Connie Bustillo | Case Manager/Care Coordinator | 1356 Ridder Park Drive, San Jose, CA 95131 | 2018-11-14 |
| 1831692722 | Nicholas Jordon Thompson | Counselor | 2218 North First Street, San Jose, CA 95131 | 2018-03-16 |
| 1376072637 | Lee's Care Home | Assisted Living Facility | 5225 Gallant Fox Avenue, San Jose, CA 95131 | 2017-06-08 |
| 1972984649 | Maria De La Luz Gonzalez | Counselor | 1885 Lundy Ave. Suite 223, San Jose, CA 95131 | 2015-06-17 |
| 1720470412 | Bridget Martinez | Physical Therapist | 1172 Murphy Ave #227, San Jose, CA 95131 | 2015-03-04 |
| 1609275593 | Cheryl Lozano | Community Health Worker | 1885 Lundy Ave, Ste 223, San Jose, CA 95131 | 2014-08-18 |
| Find all providers in zip 95131 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1518331123 | Prasit Aranyarachkul, Dds, Inc | Dentist | 3996 S Bascom Ave Ste 6, San Jose, CA 95124-2663 | 2015-11-19 |
| 1659713766 | Rana Baroudi, Dmd, Ms Dental Corporation | Dentist | 3535 Ross Ave Ste 302, San Jose, CA 95124-3038 | 2013-07-18 |
| 1114102357 | Timothy W. Gifford | Dentist | 5595 Winfield Blvd Ste 208, San Jose, CA 95123-1220 | 2008-01-07 |
| 1609074988 | Donald W Boyle Dds Inc | Dentist | 3996 S Bascom Ave, San Jose, CA 95124-2663 | 2007-07-06 |
| 1750590048 | Binh Duong Nguyen | Dentist | 2351 Mckee Rd, Suite B, San Jose, CA 95116-1624 | 2007-05-22 |
| 1861538118 | Siamak Madani | Dentist | 4155 Moorpark Ave Ste 18, San Jose, CA 95117-1714 | 2007-01-30 |
| 1275680530 | Christine M. Hayashi | Dentist | 2000 Forest Ave Ste A, San Jose, CA 95128-4831 | 2007-01-05 |
| 1700976149 | Niloofar Zarkesh | Dentist | 100 Oconnor Dr Ste 10, San Jose, CA 95128-1638 | 2006-10-14 |
| 1689692204 | Timothy W. Gifford, Dds, Inc | Dentist | 5595 Winfield Blvd, 208, San Jose, CA 95123-1220 | 2006-07-18 |
| Find all providers in SAN JOSE | ||||
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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.