Organization Active NPI

Creative Chiropractic Solutions, PLLC

  • Point of Service
  • Berwyn, PA
National Provider Identifier
1295912525
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
DC009859 Issued in PA
Legal business name
CREATIVE CHIROPRACTIC SOLUTIONS, PLLC
Practice address
800 Lancaster Ave Ste M2
Berwyn, PA 19312-1780
Phone
(610) 722-0240
NPI assigned
Jan 29, 2008
Last updated
May 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Dr. Andrew J Fetterman, D.C.NPI 1649453267
Title
Chiropractor/Owner
Phone
(610) 722-0240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X DC009859 PA Primary

Addresses

Primary practice location

800 Lancaster Ave Ste M2
Berwyn, PA 19312-1780

Mailing address

616 Lancaster Ave
Berwyn, PA 19312-1663
Phone (610) 722-0240

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170926001587 PA Part B Supplier - Clinic/Group Practice 6608140900 Receives reassigned benefits from 1 practitioner
Practice locations: Berwyn, PA

National Provider Directory

National Provider Directory
Tax ID family
Creative Chiropractic Solutions PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

616 Lancaster Ave
Berwyn, PA 19312
Phone (610) 644-6640

800 Lancaster Ave
Ste M2
Berwyn, PA 19312
Phone (610) 722-0240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1295912525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 LANCASTER AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121663",
            "telephone_number": "610-722-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LANCASTER AVE STE M2",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121780",
            "telephone_number": "610-722-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CHIROPRACTIC SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "FETTERMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "610-722-0240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "PA",
            "license": "DC009859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.