Organization Active NPI

Travis Chiropractic PLLC

  • Chiropractor
  • Sapulpa, OK
National Provider Identifier
1306071394
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TRAVIS CHIROPRACTIC PLLC
Practice address
8 S Mission
Sapulpa, OK 74066
Phone
(918) 224-2225
Fax
(918) 524-4266
NPI assigned
May 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Dr. Heath D Travis, D.C.NPI 1003027103
Title
Owner
Phone
(918) 224-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

8 S Mission
Sapulpa, OK 74066

Mailing address

8 S Mission St
Sapulpa, OK 74066-4634
Phone (918) 224-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091103000513 OK Part B Supplier - Clinic/Group Practice 2062550585 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

10135 Riverside Pkwy
Tulsa, OK 74137
Phone (918) 296-7587

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1306071394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S MISSION ST",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664634",
            "telephone_number": "918-224-2225",
            "fax_number": "918-524-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S MISSION",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "74066",
            "telephone_number": "918-224-2225",
            "fax_number": "918-524-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "HEATH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-224-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sapulpa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.