Robert Walter Traven, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH5729 Issued in FL

Practice address

650 S Courtenay Pkwy Ste 200
Merritt Island, FL 32952-4977

Phone

(321) 394-2660

Fax

(321) 394-2669

NPI assigned

Jul 26, 2006

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 FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Merritt Island Chiropractic, LLC

  • Chiropractor
  • Merritt Island, FL
  • NPI 1417616889
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1548284367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540610",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329540610",
            "telephone_number": "321-453-6126",
            "fax_number": "321-453-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S COURTENAY PKWY STE 200",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524977",
            "telephone_number": "321-394-2660",
            "fax_number": "321-394-2669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 N Courtenay Pkwy",
            "address_2": "Suite 11",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329534501",
            "country_code": "US",
            "telephone_number": "321-453-6126",
            "fax_number": "321-453-8250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAVEN",
        "first_name": "ROBERT",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Tillman, FNP-C
• Lauren Timney, LMHC MS
• Caitlin Marie Tomlin
• Jennifer Torpy
• Jessica Toynbee
• David Arnold Trevino, MD
• Jennifer Sue Trikones
• Laura L Trombly, DDS
• Tropical Family Healthcare, LLC
• True You Brevard LLC

• 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 Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.