Travis R Wells, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8463 Issued in FL

Practice address

111 S Randolph Ave
Kissimmee, FL 34741-5469

Phone

(407) 846-4325

Fax

(407) 846-4306

NPI assigned

Aug 11, 2006

Last updated

Mar 31, 2012By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Wells Clinic of Chiropractic LLC

  • Chiropractor
  • Kissimmee, FL
  • NPI 1952604720
  Authorized official Same address or phone

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333152000000",
    "number": "1699786053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S RANDOLPH AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415469",
            "telephone_number": "407-846-4325",
            "fax_number": "407-846-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S RANDOLPH AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415469",
            "telephone_number": "407-846-4325",
            "fax_number": "407-846-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "TRAVIS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2012-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "27-1874681",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381932900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENCE",
            "identifier": "CH8463",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Sabrina Welch
• Brooke Welcher-Miner, MS, RDN, LDN
• Wellmed Medical Management of Florida, Inc.
• Wellquest Health Inc.
• Wells Clinic of Chiropractic LLC
• Suzette Angela Welshlewis
• Alicen Lee Wendall, PTA, BSPTA
• Nathan Douglas Werking
• Ayres M Wesby, LPN
• Lexus A Wesley

• Chiropractor in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2012; 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.