Individual provider Active NPI

Travis Scott Studt, DC

  • Chiropractor
  • Lancaster, CA
National Provider Identifier
1639104243
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 28040 Issued in CA
Practice address
1051 W Columbia Way Ste 209
Lancaster, CA 93534-8156
Phone
(661) 949-6649
Fax
(661) 949-9431
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 28040 CA Primary

Addresses

Primary practice location

1051 W Columbia Way Ste 209
Lancaster, CA 93534-8156

Mailing address

936 W Avenue J4
104
Lancaster, CA 93534-4246
Phone (661) 949-6649

Other practice location 1

936 W Avenue J4
104
Lancaster, CA 93534-4246
Phone (661) 949-6649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 28040CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1639104243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 W AVENUE J4",
            "address_2": "104",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344246",
            "telephone_number": "661-949-6649",
            "fax_number": "661-949-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 W COLUMBIA WAY STE 209",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935348156",
            "telephone_number": "661-949-6649",
            "fax_number": "661-949-9431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "936 W Avenue J4",
            "address_2": "104",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935344246",
            "country_code": "US",
            "telephone_number": "661-949-6649",
            "fax_number": "661-949-9431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUDT",
        "first_name": "TRAVIS",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 28040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.