Travis Beauchamp, D.C.

Key facts

NPI

1821119934

Entity type

Individual (NPI type 1)

Primary specialty

Chiropractor 111N00000X

License

4313 (WI)

Practice address

1810 Webster St
Suite 2
Hudson, WI 54016-9305

Phone

(715) 386-6100

Fax

(715) 386-6298

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beauchamp Chiropractic Chiropractor · Escanaba, MI · NPI 1932500337
  Medicare reassignment NPD Authorized official CHIROPRACTOR · MI
• Hudson Chiropractic, S.C. Chiropractor · White Bear Lake, MN · NPI 1396971909
  NPD (past) Authorized official CHIROPRACTOR
• Delta Chiropractic Associates,Inc Chiropractor · Escanaba, MI · NPI 1376765461
  NPD (past) CHIROPRACTOR

Medicare Care Compare profile

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MI

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

No

HHS exclusion list flag

The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 8, 2008.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1821119934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 WEBSTER ST",
            "address_2": "SUITE 2",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169305",
            "telephone_number": "715-386-6100",
            "fax_number": "715-386-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 WEBSTER ST",
            "address_2": "SUITE 2",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169305",
            "telephone_number": "715-386-6100",
            "fax_number": "715-386-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHAMP",
        "first_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4935",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF MINNESOTA",
            "identifier": "046N7BE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38976700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

• Morgan Leigh Barnum, D.O.
• Brian Bartlett, MS
• Shannon Elizabeth Bartlett, LPC
• Cynthia J Bast, PAC
• Lynsey Batenhorst, MS CCC-SLP
• Amy R Beaver, COTA
• Angela Kristine Beck, BSN, RN
• Stephanie Jordan Becker, MSW, LICSW, LCSW
• Bee Healthy Chiropractic
• Laura Beeson

All providers in Hudson, WI · Chiropractor in Wisconsin