Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588858229 Individual Practitioner Male Practitioner

Dr. Reggie Stanley Fuller , DC

Chiropractor • Maple Lake, MN

Professional Overview & Biography Verified Profile Summary

Dr. Reggie Fuller, DC is a registered healthcare professional specializing in Chiropractor in Maple Lake, MN. Practice services are available at 4027 37TH ST NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4027 37th St Nw

Maple Lake, MN 553583422

Telephone 6124233158

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Maple Lake, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Maple Lake, MN (3487 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MN 5014

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 11, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2008

Registered at 4027 37TH ST NW, MAPLE LAKE, MN 553583422 (Tel: 6124233158)

📍
Updated Business Mailing Address June 11, 2008

Registered at 4201 SUNSET DR APT 201, SPRING PARK, MN 553844512 (Tel: 6124233158)

👤
Provider Name / Credentials Updated June 11, 2008

Recorded as REGGIE FULLER, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2008

Chiropractor (License #5014 in MN)

🟢
Initial NPI Registration & Enumeration September 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588858229
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 05, 2007
Last Update: June 11, 2008
Sole Proprietor: No

Mailing Address

4201 Sunset Dr Apt 201

Spring Park, MN 553844512

Phone: 6124233158

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.