Individual provider Active NPI

Travis Edward Dust, D.C.

  • Chiropractor
  • Owasso, OK
National Provider Identifier
1346489812
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3919 Issued in OK
Practice address
12150 E 96TH St N Ste 100B
Owasso, OK 74055-5339
Phone
(918) 212-8688
Fax
(866) 352-5122
NPI assigned
Feb 6, 2009
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3919 OK Primary

Addresses

Primary practice location

12150 E 96TH St N Ste 100B
Owasso, OK 74055-5339

Mailing address

12150 E 96TH St N Ste 100B
Owasso, OK 74055-5339
Phone (918) 212-8688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12806 E 101St PL N
Owasso, OK 74055-4662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Dust Chiropractic & Rehabilitation LLC Chiropractor Current Accepting new patients
Aldridge & Dust Enterprises Inc. Chiropractor CurrentSince May 2, 2011 Accepting new patients
918 Chiropractic Owasso LLC Chiropractor Past Accepting new patients

Locations

12806 E 101st Pl N
Owasso, OK 74055
Phone (918) 376-4243

1401 S Utica Ave
Tulsa, OK 74104
Phone (918) 376-4243

Organizations & group practices 3

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": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1346489812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 E 96TH ST N STE 100B",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555339",
            "telephone_number": "918-212-8688",
            "fax_number": "866-352-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 E 96TH ST N STE 100B",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555339",
            "telephone_number": "918-212-8688",
            "fax_number": "866-352-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUST",
        "first_name": "TRAVIS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-06",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.