Active NPI
Dustin Jay Halverson, DO
- Pediatrics Physician
- Travis Afb, CA
National Provider Identifier
1437853165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- V3608
- Practice address
- 101 Bodin Cir BLDG 777
Travis Afb, CA 94535-1802 - Phone
- (707) 423-5323
- NPI assigned
- Mar 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | V3608 | TX | Primary |
Addresses
Primary practice location
101 Bodin Cir BLDG 777
Travis Afb, CA 94535-1802
Mailing address
101 Bodin Cir BLDG 777
Travis Afb, CA 94535-1802
Phone (707) 423-5323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260302003426 | TX | Order and Referring Only - Pediatric Medicine | 0345722179 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V3608 | TX | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1437853165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 BODIN CIR BLDG 777",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "945351802",
"telephone_number": "707-423-5323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BODIN CIR BLDG 777",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "945351802",
"telephone_number": "707-423-5323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALVERSON",
"first_name": "DUSTIN",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-28",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "V3608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Travis Afb, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.