Active NPI
Travis Pioske
- Chiropractor
- Richfield, MN
National Provider Identifier
1730814682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6994
- Practice address
- 1415 E 66TH St
Richfield, MN 55423-2646 - Phone
- (612) 345-5963
- NPI assigned
- Jul 22, 2022
- Last updated
- Jul 22, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6994 | MN | Primary |
Addresses
Primary practice location
1415 E 66TH St
Richfield, MN 55423-2646
Mailing address
1415 E 66TH St
Richfield, MN 55423-2646
Phone (612) 345-5963
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6994 | MN | MD | Neurology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KST LLC | Chiropractor | Current | Accepting new patients |
Locations
1415 E 66th St
Richfield, MN 55423
Phone (612) 345-5963
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1730814682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 E 66TH ST",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554232646",
"telephone_number": "612-345-5963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 E 66TH ST",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554232646",
"telephone_number": "612-345-5963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIOSKE",
"first_name": "TRAVIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-22",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.