NPIMap

Organization Active NPI

Fetter Chiropractic SC

  • Chiropractor
  • Clintonville, WI
National Provider Identifier
1760246144
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FETTER CHIROPRACTIC SC
Practice address
275 S Main St
Clintonville, WI 54929-1604
Phone
(715) 853-1643
NPI assigned
Feb 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Dr. Michael Ryan Fetter, DCNPI 1518612837
Title
Owner/Director
Phone
(715) 853-1643

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

275 S Main St
Clintonville, WI 54929-1604

Mailing address

E5295 County Rd S
Tigerton, WI 54486-9420
Phone (715) 853-1643

National Provider Directory

National Provider Directory

Locations

275 S Main St
Clintonville, WI 54929
Phone (715) 823-2912

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1760246144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E5295 COUNTY RD S",
            "city": "TIGERTON",
            "state": "WI",
            "postal_code": "544869420",
            "telephone_number": "715-853-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S MAIN ST",
            "city": "CLINTONVILLE",
            "state": "WI",
            "postal_code": "549291604",
            "telephone_number": "715-853-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FETTER CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "FETTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "715-853-1643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clintonville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.