Individual provider Active NPI

Heath D Travis, D.C.

  • Chiropractor
  • Sapulpa, OK
National Provider Identifier
1003027103
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3823 Issued in OK
Practice address
8 S Mission St
Sapulpa, OK 74066-4634
Phone
(918) 224-2225
Fax
(918) 224-3022
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3823 OK Primary

Addresses

Primary practice location

8 S Mission St
Sapulpa, OK 74066-4634

Mailing address

8 S Mission St
Sapulpa, OK 74066-4634
Phone (918) 224-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822001223 OK Practitioner - Chiropractic 4880786813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10135 Riverside Pkwy
Tulsa, OK 74137-2317
Phone (918) 296-7587

8 S Mission St
Sapulpa, OK 74066-4634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Travis Chiropractic PLLC Chiropractor CurrentSince Aug 26, 2009 Accepting new patients

Locations

10135 Riverside Pkwy
Tulsa, OK 74137
Phone (918) 296-7587

Networks

  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1003027103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S MISSION ST",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664634",
            "telephone_number": "918-224-2225",
            "fax_number": "918-224-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S MISSION ST",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664634",
            "telephone_number": "918-224-2225",
            "fax_number": "918-224-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "HEATH",
        "middle_name": "D",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sapulpa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.