Travis Walters, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5020-12 Issued in WI

Practice address

S71W23325 National Ave
Suite 5
Big Bend, WI 53103-9495

Phone

(262) 662-9775

Fax

(262) 662-9773

NPI assigned

Jun 19, 2014

Last updated

Jun 19, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

• Big Bend Vernon Releif & Wellness SC

  • Chiropractor
  • Big Bend, WI
  • NPI 1871743047
  NPD

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1245644004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S71W23325 NATIONAL AVE",
            "address_2": "SUITE 5",
            "city": "BIG BEND",
            "state": "WI",
            "postal_code": "531039495",
            "telephone_number": "262-662-9775",
            "fax_number": "262-662-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S71W23325 NATIONAL AVE",
            "address_2": "SUITE 5",
            "city": "BIG BEND",
            "state": "WI",
            "postal_code": "531039495",
            "telephone_number": "262-662-9775",
            "fax_number": "262-662-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "TRAVIS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5020-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Rose Schlomann, LPC, CSAC
• Lisa Smith
• Christopher James Uecker, CRNA
• Village of Big Bend (Big Bend Fire Department)
• Village of Vernon (Vernon Fire Department)
• Woodland Dental GRP., SC
• Colleen P Woods-Frerichs, M.S. CCC-SLP
• Robert D. Zelko, DDS

• Chiropractor in Big Bend, WI
• Providers in Big Bend, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.