Active NPI
Christopher Todd Fetter, DC
- Chiropractor
- Winfield, AL
National Provider Identifier
1912923160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1812
- Practice address
- 2335 US Highway 43
Winfield, AL 35594 - Phone
- (205) 487-8865
- Fax
- (205) 487-2371
- NPI assigned
- Jul 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1812 | AL | Primary |
Addresses
Primary practice location
2335 US Highway 43
Winfield, AL 35594
Mailing address
2335 US Highway 43
PO Box 1319
Winfield, AL 35594
Phone (205) 487-8865
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080826000492 | AL | Practitioner - Chiropractic | 3971678913 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1812 | AL | MD | Physician Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Winfield, AL
- NPI 1871749994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912923160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2335 US HIGHWAY 43",
"address_2": "PO BOX 1319",
"city": "WINFIELD",
"state": "AL",
"postal_code": "35594",
"telephone_number": "205-487-8865",
"fax_number": "205-487-2371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2335 US HIGHWAY 43",
"city": "WINFIELD",
"state": "AL",
"postal_code": "35594",
"telephone_number": "205-487-8865",
"fax_number": "205-487-2371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FETTER",
"first_name": "CHRISTOPHER",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "1812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winfield, AL
- Drayer Physical Therapy Institute LLC
- Drayer Physical Therapy-Alabama, LLC
- Druid City Infusion Clinics LLC (Druid City Infusion Clinics Northwest)
- Encore Rehabilitation, Inc. (Encore Rehab of Winfield)
- Farouk a. Raquib, M.D., P.C.
- Randall W Finley, MD
- Gary Matthew Fowler, MD
- Francisco Huidor MD PC
- Jordan Frederick, CRNP
- Martin M Hajjar, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.