Shane Fuller, D.D.S.
NPI 1326450867 · Dentist · Spring Valley, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane Fuller, D.D.S. is a Dentist provider in Spring Valley, CA (NPI 1326450867).
Provider details
- NPI number
- 1326450867
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 63426 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 245 N 15th StMs467Philadelphia, PA 19102-1101Phone: (215) 762-5643
Registry dates
- Enumerated
- 2014-06-02
- Last updated
- 2018-03-17
Frequently asked questions
- What is Shane Fuller's NPI number?
- Shane Fuller's National Provider Identifier (NPI) is 1326450867, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Fuller's specialty?
- Shane Fuller is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Shane Fuller located?
- Shane Fuller's practice location on file with NPPES is 8788 Jamacha Rd, Spring Valley, CA 91977-4035.
- What is Shane Fuller's phone number?
- The practice phone number listed in the NPPES registry for Shane Fuller is (619) 515-2555.
- Does Shane Fuller accept Medicare?
- Shane Fuller is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shane Fuller's NPI active?
- Yes — Shane Fuller's NPI (1326450867) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.