Travis Dean Rafdal, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556169 Issued in VA

Practice address

11790 Jefferson Ave
#205
Newport News, VA 23606

Phone

(757) 873-8701

Fax

(757) 873-6737

NPI assigned

Jul 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rebound Chiropractic Health Center LTDGroup PAC ID 7517989551, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rebound Chiropractic Health Center LTD

  • Chiropractor
  • Newport News, VA
  • NPI 1801819057
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629007562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11790 JEFFERSON AVE",
            "address_2": "#205",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23606",
            "telephone_number": "757-873-8701",
            "fax_number": "757-873-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11790 JEFFERSON AVE",
            "address_2": "#205",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23606",
            "telephone_number": "757-873-8701",
            "fax_number": "757-873-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFDAL",
        "first_name": "TRAVIS",
        "middle_name": "DEAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "187447",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nakita Quidera, AGNP-C
• Hollie Racz, PTA
• Radiant Flux PLLC (Center for Sleep & TMJ)
• Radiant Innovations Counseling Services
• Radiate Chiropractic LLC
• Jennifer M Ragi, MD
• Faraz Rahman, MD
• Rai Care Centers of Denbigh, LLC (Fresenius Medical Care Denbigh)
• Rai Care Centers of Virginia I, LLC (Rai - Thimble Shoals - Newport News)
• Rai Care Centers of Virginia I, LLC

• Chiropractor in Newport News, VA
• Providers in Newport News, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.