Travis J Dearmon, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3846 Issued in OK

Practice address

4412 W. Houston
Broken Arrow, OK 74012

Phone

(918) 254-8700

Fax

(918) 254-8711

NPI assigned

Aug 8, 2007

Last updated

Jan 28, 2014By 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

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Proactive Sport and Spine PLC

  • Chiropractor
  • Broken Arrow, OK
  • NPI 1114260593
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1063603603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4412 W. HOUSTON",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "918-254-8700",
            "fax_number": "918-254-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4412 W. HOUSTON",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "918-254-8700",
            "fax_number": "918-254-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARMON",
        "first_name": "TRAVIS",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Day-by-Day Staff Relief, LLC (Enhabit Home Health of Northeast Oklahoma)
• Lily Jade Day
• Saige Day
• DDP Management Group LLC
• Elizabeth Renee Dearhamer, LCSW
• Steve E Deem, DDS
• Moriah Denise Deford
• Shannon Marie Delaney, DO
• Denis Savenko (Central Coast Medical Laboratory)
• James Denne

• Chiropractor in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.

Verify at the official NPI Registry.