Individual provider Active NPI

Travis W Davis, D.C.

  • Chiropractor
  • Norfolk, VA
National Provider Identifier
1144402322
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104002072 Issued in VA
Practice address
738 W 22ND St
Suite 5
Norfolk, VA 23517-1983
Phone
(757) 627-2222
Fax
(757) 627-2999
NPI assigned
Nov 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104002072 VA Primary

Addresses

Primary practice location

738 W 22ND St
Suite 5
Norfolk, VA 23517-1983

Mailing address

738 W 22ND St
Suite 5
Norfolk, VA 23517-1983
Phone (757) 627-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080929000424 VA Practitioner - Chiropractic 7719054089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Church Point Chiropractic PCGroup PAC ID 3779506969, 4 clinicians

Practice addresses (Care Compare)

524 Independence Blvd
Virginia Beach, VA 23462-2221
Phone (757) 745-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Church Point Chiropractic, PC Chiropractor CurrentSince May 23, 2018 Accepting new patients
Virginia Wellness Associates Norfolk, Inc. Chiropractor Past Accepting new patients

Locations

1510 Breezeport Way
Ste 100
Suffolk, VA 23435
Phone (252) 347-5996

524 Independence Blvd
Virginia Beach, VA 23462
Phone (757) 460-2522

Organizations & group practices 2

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": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1144402322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 W 22ND ST",
            "address_2": "SUITE 5",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171983",
            "telephone_number": "757-627-2222",
            "fax_number": "757-627-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 W 22ND ST",
            "address_2": "SUITE 5",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171983",
            "telephone_number": "757-627-2222",
            "fax_number": "757-627-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TRAVIS",
        "middle_name": "W",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104002072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.