Individual provider Active NPI

Cletus Fonchingong CHI, RRT

  • Emergency Care Registered Respiratory Therapist
  • Liberty TWP, OH
National Provider Identifier
1770363335
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Registered Respiratory TherapistTaxonomy code 2279E0002X
Practice address
5664 Oakview Ter
Liberty TWP, OH 45011
Phone
(919) 884-1088
NPI assigned
Oct 2, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X RCP.14456 OH
Emergency Care Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2279E0002X Primary

Addresses

Primary practice location

5664 Oakview Ter
Liberty TWP, OH 45011

Mailing address

5664 Oakview Ter
Liberty TWP, OH 45011
Phone (919) 884-1088

Other names 1

  • Cletus Fonchingong CHI Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RCP.14456OHMDEmergency Medical Services (Emergency Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1770363335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5664 OAKVIEW TER",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "45011",
            "telephone_number": "919-884-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5664 OAKVIEW TER",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "45011",
            "telephone_number": "919-884-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHI",
        "first_name": "CLETUS",
        "middle_name": "FONCHINGONG",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OH",
            "license": "RCP.14456",
            "primary": false
        },
        {
            "code": "2279E0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLETUS",
            "last_name": "CHI",
            "middle_name": "FONCHINGONG",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Liberty TWP, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.