Travis Ray Snow, DC
Individual provider Active NPI Chiropractor · Orleans, IN
NPI 1811089733 · NPPES record last updated Feb 26, 2009
Key facts
- NPI
- 1811089733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08002299A (IN)
- Practice address
- 420 N Maple Street
Orleans, IN 47452 - Phone
- (812) 865-3052
- Fax
- (812) 865-3206
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1011 W Warren St
Mitchell, IN 47446-1338
Phone (812) 849-6336
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080513000168 | IN | Practitioner - Chiropractic | 0547339855 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08002299A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Snow Family Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
| King Chiropractic LLC | Chiropractor | Past |
Accepting new patients |
| King Chiropractic Clinic Inc | Chiropractor | Past |
Accepting new patients |
Locations
1011 W Warren St
Mitchell, IN 47446
Phone (812) 849-6336
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002299A | IN | Yes |
Addresses
Primary practice location
420 N Maple Street
Orleans, IN 47452
Mailing address
420 N Maple Street
P.O. Box 267
Orleans, IN 47452
Phone (812) 865-3052
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000528221 | Other | IN | ANTHEM |
| 200908540 | Medicaid | IN |
Other providers in Orleans, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.