Patrick Fetta, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

0104000431 Issued in VA

Practice address

10205 Staples Mill Rd
Glen Allen, VA 23060-3065

Phone

(804) 672-7050

Fax

(804) 672-0661

NPI assigned

Nov 19, 2008

Last updated

Nov 19, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1972758886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10205 STAPLES MILL RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603065",
            "telephone_number": "804-672-7050",
            "fax_number": "804-672-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10205 STAPLES MILL RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603065",
            "telephone_number": "804-672-7050",
            "fax_number": "804-672-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTA",
        "first_name": "PATRICK",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "VA",
            "license": "0104000431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "083332",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Daou Featherstone, MSN, PMHNP, WHNP,
• Devon Feero
• Ashley Felde, M.S., BCBA
• Richard Louis Feldman, MS
• Victoria Anne Felty, FNP-BC
• Kyeisha Fields
• Lauren Michelle Fields, MSN, AGPCNP-BC
• Find Your Voice, LLC
• First Steps Physical Therapy, Inc.
• Angela G Fleming

• Orthopedic Chiropractor in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Orthopedic Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.