DR. BRIAN SCOTT FULLER (NPI# 1760674725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760674725 |
| Entity Type | Individual |
| Full Name | DR. BRIAN SCOTT FULLER |
| Credential | D.D.S. |
| Practice Address |
1920 S 1st St 1509 Minneapolis MN 55454-1055 |
| Practice Telephone | 6122700885 |
| Mailing Telephone | 6122700885 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 2199 | MT | Dental Providers |
| Y | 122300000X | Dentist | D12089 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316035280 | Brian Christopher Fuller | Pediatrics | 2401 Village Professional Drive, Opelika, AL 36801-4702 | 2006-10-10 |
| 1073556544 | Brian Jay Fuller | Chiropractor | 211 N Clinton St, Suite 2s, Chicago, IL 60661-1282 | 2006-06-13 |
| 1972562601 | Brian George Fuller | Physical Therapist | 15 Porters Glen Pl, Durham, NC 27713-9164 | 2006-03-21 |
| 1730174160 | Brian J Fuller | Physical Therapist | 4453 State Route 159, Chillicothe, OH 45601-8620 | 2005-09-12 |
| 1427540178 | Brian Fuller | Pediatrics | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2018-05-30 |
| 1184915365 | Brian Robert Fuller | Pharmacist | 105 Mall Blvd, Monroeville, PA 15146-2230 | 2011-04-22 |
| 1033409438 | Brian Edward Fuller | Psychiatry & Neurology | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2011-04-19 |
| 1780973982 | Brian J Fuller | Family Medicine | 6909 Good Samaritan Dr, Suite A, Cincinnati, OH 45247-5208 | 2011-03-29 |
| 1336473032 | Brian K Fuller | Case Manager/Care Coordinator | 3211 Jefferson St, San Diego, CA 92110-4424 | 2009-09-28 |
| 1396972386 | Brian C Fuller | Orthopaedic Surgery | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2009-06-17 |
| Street Address |
1920 S 1ST ST 1509 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55454-1055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
| 1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
| 1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
| 1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
| 1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
| 1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
| 1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
| 1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
| 1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
| Find all providers in zip 55454 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1871150417 | Muktar Farah | Dentist | 115 Broadway St Ne, Minneapolis, MN 55413-1805 | 2019-05-20 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1861975245 | Sara Tejani | Dentist | 2232 Hennepin Ave. S., Minneapolis, MN 55405 | 2018-09-11 |
| 1811483795 | Minnesota Durable Medical Equipment LLC | Dentist | 15600 36th Ave N Ste 270, Minneapolis, MN 55446-3372 | 2018-07-03 |
| 1871010165 | Mayank Shrivastava | Dentist | 515 Delaware St Se # 6-320, Minneapolis, MN 55455-0357 | 2017-08-28 |
| 1659808079 | Christopher David Carvalho | Dentist | 515 Delaware St Se Fl 7, Minneapolis, MN 55455-0357 | 2017-05-16 |
| 1821449133 | Yannie Chea | Dentist | 616 Washington Ave Se Apt 213, Minneapolis, MN 55414-2998 | 2016-06-28 |
| 1245688969 | Daniel Jabs | Dentist | 7-368 Moos Tower, 515 Delaware St Se, Minneapolis, MN 55455 | 2016-06-03 |
| 1780039263 | Ursula Mcguckin | Dentist | 825 Nicollet Avenue #1025, Minneapolis, MN 55402 | 2016-05-03 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55454 |
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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.