Travidc, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00543800 Issued in NJ

Legal business name

TRAVIDC, LLC

Doing business as

The Body Shop Chiropractic

Practice address

13 Tanner St
Haddonfield, NJ 08033-2470

Phone

(856) 354-0044

Fax

(856) 354-1944

NPI assigned

Oct 16, 2007

Last updated

Jun 25, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Travis Williams, DCNPI 1538219886

Title

Owner

Phone

(856) 354-0044

Specialties & licenses 1

Addresses

Other names 1

• The Body Shop Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Travis Williams, DC

  • Chiropractor
  • Haddonfield, NJ
  • NPI 1538219886
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1629267638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 TANNER ST",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332470",
            "telephone_number": "856-354-0044",
            "fax_number": "856-354-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 TANNER ST",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332470",
            "telephone_number": "856-354-0044",
            "fax_number": "856-354-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIDC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-354-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00543800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Body Shop Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Stern Taylor, MFT
• Thrift Drug Inc (Rite Aid Pharmacy 10444)
• Erin C. Toller-Artis, D.O.
• Amanda Tracy, PHARMD
• Training Room of Haddonfield, LLC (The Training Room of Haddonfield)
• Sean Travis, LCSW
• Mary Ellen Turner, MD
• Lisa Twardzik, LPC
• University Imaging Center, LLC (University Imaging Center of Haddonfield)
• Mary Christine Vallone, PT

• Chiropractor in Haddonfield, NJ
• Providers in Haddonfield, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.