Individual provider Active NPI

Arthur H Fetty, D.C

  • Chiropractor
  • Johnstown, OH
National Provider Identifier
1205211489
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4508 Issued in OH
Practice address
24 Meadow LN
Johnstown, OH 43031-1126
Phone
(740) 967-2243
Fax
(740) 967-2241
NPI assigned
Jul 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4508 OH Primary

Addresses

Primary practice location

24 Meadow LN
Johnstown, OH 43031-1126

Mailing address

7212 Alma Terrace Dr
New Albany, OH 43054-7030

Other practice location 1

1188 W 5th Ave
Columbus, OH 43212-2501
Phone (614) 486-3562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180315001330 OH Practitioner - Chiropractic 5395007157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24 Meadow LN
Johnstown, OH 43031-1126
Phone (740) 967-2243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fetty Health Services, LLC Chiropractor CurrentSince Jan 29, 2018 Accepting new patients
5TH Avenue Injury Center Chiropractor Past Accepting new patients

Locations

24 Meadow Ln
Johnstown, OH 43031
Phone (740) 967-2243

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1205211489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 ALMA TERRACE DR",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MEADOW LN",
            "city": "JOHNSTOWN",
            "state": "OH",
            "postal_code": "430311126",
            "telephone_number": "740-967-2243",
            "fax_number": "740-967-2241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1188 W 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432122501",
            "country_code": "US",
            "telephone_number": "614-486-3562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FETTY",
        "first_name": "ARTHUR",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-29",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.