Active NPI
Christopher Drennan Fetner, M.D.
- Urology Physician
- Dallas, TX
National Provider Identifier
1801859285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- E0003
- Practice address
- 7777 Forest LN Ste A315
Dallas, TX 75230-2579 - Phone
- (972) 566-7772
- Fax
- (972) 566-7703
- NPI assigned
- Apr 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | E0003 | TX | Primary |
Addresses
Primary practice location
7777 Forest LN Ste A315
Dallas, TX 75230-2579
Mailing address
7777 Forest LN
Ste A315
Dallas, TX 75230-2579
Phone (972) 566-7772
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110236004 | Medicaid | TX | |
| 8M6738 | Other | TX | BCBS |
| P00275099 | Other | TX | RR MEDICARE |
| 110236005 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0003 | TX | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1801859285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 FOREST LN",
"address_2": "STE A315",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302579",
"telephone_number": "972-566-7772",
"fax_number": "972-566-4656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 FOREST LN STE A315",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302579",
"telephone_number": "972-566-7772",
"fax_number": "972-566-7703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FETNER",
"first_name": "CHRISTOPHER",
"middle_name": "DRENNAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "E0003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110236004",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8M6738",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00275099",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110236005",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.