Alexandra Elizabeth Travis, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

063745 Issued in NY

Practice address

1108 State St
Schenectady, NY 12304-2610

Phone

(518) 370-1441

Fax

(518) 395-9431

NPI assigned

Jun 7, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alexandra.travis.1@18107.direct.athenahealth.com

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.

• Schenectady Family Health Services, Inc.

  • Family Medicine Physician
  • Schenectady, NY
  • NPI 1396711982
  Medicare reassignment NPD
• Schenectady Family Health Services, Inc.

  • Dental Clinic/Center
  • Schenectady, NY
  • NPI 1457024218
  NPD
• Schenectady Family Health Services, Inc.

  • Family Medicine Physician
  • Amsterdam, NY
  • NPI 1174947469
  NPD (past)
• Schenectady Family Health Services, Inc.

  • Dental Clinic/Center
  • Schenectady, NY
  • NPI 1316624786
  NPD (past)
• Schenectady Family Health Services, Inc.

  • Dental Clinic/Center
  • Schenectady, NY
  • NPI 1538705819
  NPD (past)

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1295464980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 SHAKER BAY RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101254",
            "telephone_number": "518-810-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 STATE ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123042610",
            "telephone_number": "518-370-1441",
            "fax_number": "518-395-9431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1044 State St",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123071508",
            "country_code": "US",
            "telephone_number": "518-370-1441",
            "fax_number": "518-395-9431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "ALEXANDRA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "063745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "53099A",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02995513",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OSCAR",
            "identifier": "331833",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• TPB Medical Services PC
• Carrie Beth Tram
• Chelsea Elise Trant, PHARMD
• Trauma and Addictions Recovery Assoc.
• Gregory Edward Travers, PHARMD
• Rachel L Tremblay, LMSW
• Sarah Elizabeth Trembly
• Marcela Trevino, DO, MSHS, MBS
• Tri City Psych Medical Serives PC
• Sue-Ellen Trumbull, LMHC

• Pediatric Dentistry in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.