Andrew Joseph Fetterman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009859 Issued in PA

Practice address

616 Lancaster Ave
Berwyn, PA 19312-1663

Phone

(610) 722-0240

NPI assigned

Dec 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Creative Chiropractic Solutions, PLLC

  • Point of Service
  • Berwyn, PA
  • NPI 1295912525
  Medicare reassignment Authorized official
• Creative Health and Spine

  • Rehabilitation Chiropractor
  • Berwyn, PA
  • NPI 1003352725
  NPD Authorized official

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1649453267",
    "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": "616 LANCASTER AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121663",
            "telephone_number": "610-722-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTERMAN",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-06",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Marie Estrada, RD, LDN
• Daniel Eric Everitt, M.D.
• Miyoshi Faggins, M.ED
• Amanda Lea Farrell, MSN, CRNP
• Eva Fedick, LSW, M.ED
• John B Fitzgerald III, D.M.D.
• Joycelyn Fletcher
• Lauren Cordes Flynn, D.O.
• Margareth Fontaine
• Kyle Fry

• Chiropractor in Berwyn, PA
• Providers in Berwyn, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.