Travis Fontaine, DC, MS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6139 Issued in OR

Practice address

110 NE 10TH Ave
Hillsboro, OR 97124-3333

Phone

(503) 547-1999

NPI assigned

Feb 18, 2021

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Accident Care Chiropractic and Massage of Hillsboro

  • Chiropractor
  • Hillsboro, OR
  • NPI 1245782424
  NPD (past)
• Active Acupuncture Chiropractic and Massage LLC

  • Chiropractor
  • Portland, OR
  • NPI 1518454727
  NPD (past)

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1467045658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 NE 131ST PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972302519",
            "telephone_number": "971-207-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NE 10TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971243333",
            "telephone_number": "503-547-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAINE",
        "first_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "DC, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethel May Flores, N.D.
• Leanna Flores
• Lindsey Flores
• Maria Socorro Fama Flores, P.T.
• Ilia Fong, AU.D.
• Shane Fookes
• Eric Lee Foote, PA-C
• Ashley Ford
• Kelly Ford
• Sekou Carlos Ford, MD

• Chiropractor in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.