Active NPI
Fetter Health Care Network, Inc.
- Dental Clinic/Center
- Charleston, SC
National Provider Identifier
1194211243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- FETTER HEALTH CARE NETWORK, INC.
- Practice address
- 51 Nassau St
Charleston, SC 29403 - Phone
- (843) 722-4112
- NPI assigned
- Jul 2, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aretha R Jones
- Title
- Ceo
- Phone
- (843) 722-4112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
51 Nassau St
Charleston, SC 29403
Mailing address
51 Nassau St
Charleston, SC 29403-5513
Phone (843) 722-4112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZA8983 | Medicaid | SC |
Other names 1
- Fetter Mobile Dental Vehicle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Federally qualified health center certification: CCN 421072
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- FETTER MOBILE DENTAL VEHICLE
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 21, 2018
- Last certification
- Dec 21, 2018
- Ownership / control type
- For profit – partnership
- Facility address
- 51 Nassau Street
Charleston, SC 29403
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762819200000",
"number": "1194211243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 NASSAU ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294035513",
"telephone_number": "843-722-4112",
"fax_number": "843-577-9550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 NASSAU ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29403",
"telephone_number": "843-722-4112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FETTER HEALTH CARE NETWORK, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-02",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "ARETHA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "843-722-4112"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZA8983",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fetter Mobile Dental Vehicle",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Charleston, SC
- Fetter Health Care Network, Inc
- Fetter Health Care Network, Inc
- Fetter Health Care Network, Inc.
- Fetter Health Care Network, Inc.
- Fetter Health Care Network, Inc.
- Fetter Health Care Network, Inc.
- Fetter Health Care Network, Inc.
- Fetter Health Care Network, Inc.
- Fetter Health Care Network, Inc.
- Fetter Health Care Network, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.