Individual provider Active NPI

Travis R. Oller, D.C.

  • Chiropractor
  • Topeka, KS
National Provider Identifier
1801850417
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-04703 Issued in KS
Practice address
1408 SW Topeka Blvd
Topeka, KS 66612-1819
Phone
(785) 234-0521
Fax
(785) 234-2405
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-04703 KS Primary

Addresses

Primary practice location

1408 SW Topeka Blvd
Topeka, KS 66612-1819

Mailing address

1408 SW Topeka Blvd
Topeka, KS 66612-1819
Phone (785) 233-2300

Other identifiers 1

IdentifierTypeStateIssuer
0000062160OtherKSBCBS

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
01-04703KSMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1801850417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 SW TOPEKA BLVD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666121819",
            "telephone_number": "785-233-2300",
            "fax_number": "785-233-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 SW TOPEKA BLVD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666121819",
            "telephone_number": "785-234-0521",
            "fax_number": "785-234-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLER",
        "first_name": "TRAVIS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0000062160",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.