Active NPI
Travis E. Davis, D.C.
- Chiropractor
- Pratt, KS
National Provider Identifier
1093765885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-04579
- Practice address
- 122 E 3Rd St
Pratt, KS 67124-2710 - Phone
- (620) 672-3731
- Fax
- (620) 672-3731
- NPI assigned
- May 11, 2006
- Last updated
- Nov 8, 2011
- 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 | 01-04579 | KS | Primary |
Addresses
Primary practice location
122 E 3Rd St
Pratt, KS 67124-2710
Mailing address
PO Box 8563
Pratt, KS 67124-8563
Phone (620) 672-3731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060013 | Other | KS | BCBSK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070208000578 | KS | Practitioner - Chiropractic | 9830194646 | Practice locations: Pratt, KS |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
122 E 3Rd St
Pratt, KS 67124-2710
Phone (620) 672-3731
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-04579 | KS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1093765885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8563",
"city": "PRATT",
"state": "KS",
"postal_code": "671248563",
"telephone_number": "620-672-3731",
"fax_number": "620-672-3731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 E 3RD ST",
"city": "PRATT",
"state": "KS",
"postal_code": "671242710",
"telephone_number": "620-672-3731",
"fax_number": "620-672-3731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TRAVIS",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-04579",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSK",
"identifier": "060013",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pratt, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.