John R Travan

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

SC1048 Issued in SC

Legal business name

JOHN R TRAVAN

Practice address

1824 E Main St
Ste G
Easley, SC 29640

Phone

(864) 855-6767

Fax

(864) 855-6767

NPI assigned

Jul 26, 2006

Last updated

Nov 8, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Robert Travan, DC

Title

President

Phone

(864) 855-6767

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1043233323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 E MAIN ST",
            "address_2": "STE G",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "29640",
            "telephone_number": "864-855-6767",
            "fax_number": "864-855-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 E MAIN ST",
            "address_2": "STE G",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "29640",
            "telephone_number": "864-855-6767",
            "fax_number": "864-855-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R TRAVAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "TRAVAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-855-6767",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "SC1048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1048",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Easley, SC
• Providers in Easley, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.