Fetcho Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06654 Issued in IA

Legal business name

FETCHO FAMILY CHIROPRACTIC LLC

Practice address

108 E Jefferson St
Bloomfield, IA 52537-1606

Phone

(641) 664-2423

Fax

(641) 664-2064

NPI assigned

Sep 16, 2006

Last updated

Dec 31, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard James Fetcho, D CNPI 1487677860

Title

Chiropractor Owner

Phone

(641) 664-2423

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

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.

• Richard James Fetcho, D.C.

  • Chiropractor
  • Bloomfield, IA
  • NPI 1487677860
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1447356175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E JEFFERSON ST",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371606",
            "telephone_number": "641-664-2423",
            "fax_number": "641-664-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E JEFFERSON ST",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371606",
            "telephone_number": "641-664-2423",
            "fax_number": "641-664-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FETCHO FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "FETCHO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIROPRACTOR  OWNER",
        "authorized_official_telephone_number": "641-664-2423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0417261",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "35884",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald R Wirtanen DO
• Draughn Dental Care LLC
• Melissa Shea Draughn Williams, DDS
• Catherine Marie Durflinger, ARNP
• Jill Ferrell, CRNA
• Fetcho Family Chiropractic, LLC
• Richard James Fetcho, D.C.
• Robert Daniel Floyd, D.O.
• Mark James Gallion
• Gilfillan Clinic Pharmacy (US TrueCare Pharmacy)

• Chiropractor in Bloomfield, IA
• Providers in Bloomfield, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.