Paul Herman Travis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

942 Issued in AR

Practice address

3123 S 66TH St
Fort Smith, AR 72903-5005

Phone

(479) 484-1400

Fax

(479) 484-1400

NPI assigned

Jan 25, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1619947371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 S 66TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035005",
            "telephone_number": "479-484-1400",
            "fax_number": "479-484-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3123 S 66TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035005",
            "telephone_number": "479-484-1400",
            "fax_number": "479-484-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "PAUL",
        "middle_name": "HERMAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105857-718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anh T Tran, PHARMD
• Christina Tran, PHARMD
• Nicole Tran
• Tessa Quyen Tran, FNP
• Van Anh Tran, PHARM D
• Sarah Travis, RD
• Sharon Lea Treat, M.S., CCC-SLP
• Neill Hamilton Treece, DDS PA
• David A Trent, DO
• Judy H Trent, DO

• Chiropractor in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.