Organization Active NPI

Robert W. Traven D.C. P.a.

  • Chiropractor
  • Merritt Island, FL
National Provider Identifier
1780017772
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5729 Issued in FL
Legal business name
ROBERT W. TRAVEN D.C. P.A.
Practice address
950 N Courtenay Pkwy
Suite 11
Merritt Island, FL 32953-4501
Phone
(321) 453-6126
Fax
(321) 453-8250
NPI assigned
Aug 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Authorized official

Name
Dr. Robert Walter Traven, D.C.
Title
President
Phone
(321) 453-6126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH5729 FL Primary

Addresses

Primary practice location

950 N Courtenay Pkwy
Suite 11
Merritt Island, FL 32953-4501

Mailing address

PO Box 540610
Merritt Island, FL 32954-0610
Phone (321) 453-6126

National Provider Directory

National Provider Directory

Locations

950 N Courtenay Pkwy
Ste 11
Merritt Island, FL 32953
Phone (321) 453-3115

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1780017772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540610",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329540610",
            "telephone_number": "321-453-6126",
            "fax_number": "321-453-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N COURTENAY PKWY",
            "address_2": "SUITE 11",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534501",
            "telephone_number": "321-453-6126",
            "fax_number": "321-453-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. TRAVEN D.C. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "TRAVEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-453-6126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.