Merritt Island Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MERRITT ISLAND CHIROPRACTIC, LLC

Practice address

205 Parnell St
Merritt Island, FL 32953-4713

Phone

(321) 453-6126

NPI assigned

Dec 14, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Robert Walter Traven, DCNPI 1548284367

Title

Owner/Manager

Phone

(321) 453-6126

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Robert Walter Traven, D.C.

  • Chiropractor
  • Merritt Island, FL
  • NPI 1548284367
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1417616889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PARNELL ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534713",
            "telephone_number": "321-453-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PARNELL ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534713",
            "telephone_number": "321-453-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRITT ISLAND CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "TRAVEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "321-453-6126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josefina Mendoza, P.T.
• Meridian Teleradiology, Inc.
• Merit Medical Care LLC
• John Andrew Merriam, PA-S
• Merritt Island ASC LLC (Courtenay Same Day Surgery Center)
• Merritt Island Conscious Sedation
• Merritt Island Foot & Ankle Inc
• Merritt Island Health Care Associates LLC (Island Health and Rehabilitation Center)
• Merritt Island Outpatient Surgery Center, LLC
• Merritt Island Pharmacy

• Chiropractor in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.