Individual provider Active NPI

Travis J. Davis, D.C.

  • Chiropractor
  • Roseburg, OR
National Provider Identifier
1891807988
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3577 Issued in OR
Practice address
1632 NW Hughwood CT Ste 1
Roseburg, OR 97471-8881
Phone
(541) 677-9199
Fax
(541) 672-4326
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3577 OR Primary

Addresses

Primary practice location

1632 NW Hughwood CT Ste 1
Roseburg, OR 97471-8881

Mailing address

1632 NW Hughwood CT Ste 1
Roseburg, OR 97471-8881
Phone (541) 677-9199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1632 NW Hughwood CT
Suite 1
Roseburg, OR 97471-8881
Phone (541) 677-9199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3577ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Chiropractic and Rehab PC Chiropractor Current Accepting new patients
Joshua B. Anderson, D.C.P.C. Chiropractor PastSince Sep 25, 2019 Accepting new patients

Locations

1632 NW Hughwood Ct
Ste 1
Roseburg, OR 97471
Phone (541) 677-9199

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1891807988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 NW HUGHWOOD CT STE 1",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718881",
            "telephone_number": "541-677-9199",
            "fax_number": "541-672-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 NW HUGHWOOD CT STE 1",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718881",
            "telephone_number": "541-677-9199",
            "fax_number": "541-672-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TRAVIS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.