Travis T Hampton DPM LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

DP170092 Issued in OR

Legal business name

TRAVIS T HAMPTON DPM LLC

Practice address

1408 N Hall St
La Grande, OR 97850-3807

Phone

(541) 963-0265

Fax

(541) 963-6176

NPI assigned

May 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Travis Theron Hampton, DPMNPI 1184937435

Title

Podiatrist

Phone

(541) 963-0265

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

Practitioners 1

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

• Travis Theron Hampton, DPM

  • Foot & Ankle Surgery Podiatrist
  • La Grande, OR
  • NPI 1184937435
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1376921080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 N HALL ST",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978503807",
            "telephone_number": "541-963-0265",
            "fax_number": "541-963-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 N HALL ST",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978503807",
            "telephone_number": "541-963-0265",
            "fax_number": "541-963-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS T HAMPTON DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "THERON",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "541-963-0265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "OR",
            "license": "DP170092",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "DP170092",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OR",
            "license": "DP170092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naghmeh Tishman
• Bryan Tolle, D.O.
• Michelle Tolle, D.O.
• Tracey Kathleen Tracy, MD
• Transire, LLC
• True Well LLC
• Cosette Turnbow, NP-C
• Maia Jade Turner, LPN
• Richard Austin Turner
• Roszanne Turner, QMHP

• Podiatric Clinic/Center in La Grande, OR
• Providers in La Grande, OR by specialty
• Podiatric Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.