Individual provider Active NPI

Travis Augustus Falkner, D.C.

  • Chiropractor
  • Clarkston, MI
National Provider Identifier
1336501188
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010383 Issued in MI
Practice address
5643 Sashabaw Rd
Clarkston, MI 48346-3149
Phone
(248) 620-8910
NPI assigned
Mar 22, 2016
Last updated
Jul 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010383 MI Primary

Addresses

Primary practice location

5643 Sashabaw Rd
Clarkston, MI 48346-3149

Mailing address

5643 Sashabaw Rd
Clarkston, MI 48346-3149
Phone (248) 620-8910

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170419002440 MI Practitioner - Chiropractic 0749566123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5647 Sashabaw Rd
Clarkston, MI 48346-3149
Phone (248) 620-8910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010383MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Falkner Family Chiropractic & Sports Rehab LLC Chiropractor CurrentSince Mar 14, 2018 Accepting new patients

Locations

5643 Sashabaw Rd
Clarkston, MI 48346
Phone (248) 390-1499

5647 Sashabaw Rd
Clarkston, MI 48346
Phone (248) 620-8910

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1336501188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5643 SASHABAW RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463149",
            "telephone_number": "248-620-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5643 SASHABAW RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463149",
            "telephone_number": "248-620-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALKNER",
        "first_name": "TRAVIS",
        "middle_name": "AUGUSTUS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.