Travis Wilson Ryan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

31511 Issued in CA

Practice address

2147 Herndon Ave Ste 104
Clovis, CA 93611-6305

Phone

(559) 297-0030

Fax

(559) 297-7888

NPI assigned

Feb 10, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: travis.ryan.p1@direct.altura.nextgenshare.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.

• Altura Centers for Health

  • Federally Qualified Health Center (FQHC)
  • Tulare, CA
  • NPI 1023011632
  Medicare reassignment NPD
• Altura Centers for Health

  • Federally Qualified Health Center (FQHC)
  • Tulare, CA
  • NPI 1629835426
  NPD
• Altura Centers for Health

  • Federally Qualified Health Center (FQHC)
  • Woodville, CA
  • NPI 1932529831
  NPD
• Kaweah Delta Health Care District

  • General Acute Care Hospital
  • Visalia, CA
  • NPI 1588663769
  NPD (past)

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1417289869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 HERNDON AVE STE 104",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116305",
            "telephone_number": "559-297-0030",
            "fax_number": "559-297-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 HERNDON AVE STE 104",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116305",
            "telephone_number": "559-297-0030",
            "fax_number": "559-297-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "TRAVIS",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-10",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Laron Russell
• Tianna Russell
• Ryan A Rustigan, DC
• Milton Ruth, L.AC.
• RX Advisors Inc
• Jessica Rybaczyk
• S Bhatia Dental Corp
• Fayza Sabeen, FNP
• Christopher Robert Sabourin, D.D.S., M.S., M.S.D.
• Sachin Enterprises LLC

• Chiropractor in Clovis, CA
• Providers in Clovis, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.