Travis Thompson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1700 Issued in ID

Practice address

203 N Holmes Ave
Idaho Falls, ID 83401-2613

Phone

(208) 522-2591

NPI assigned

Dec 30, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Spine and Sport Chiropractic, PLLCGroup PAC ID 3173802998, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Summit Spine and Sport Chiropractic, PLLC

  • Sports Physician Chiropractor
  • Rexburg, ID
  • NPI 1164889226
  Medicare reassignment Care Compare group
• Wight Chiropractic, PA

  • Chiropractor
  • Idaho Falls, ID
  • NPI 1184801946
  NPD (past)

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1922463322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N HOLMES AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834012613",
            "telephone_number": "208-522-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N HOLMES AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834012613",
            "telephone_number": "208-522-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Jeffrey Thompson, M.D.
• Rex D Thompson, DDS
• Rhonda Thompson, LCSW
• Terry L Thompson, RN NP-C
• Timothy James Thompson, LMSW
• Glenda K Thomson, LCSW
• James Thomson, M.D.
• Makaila Jane Thormahlen
• Amy Diana Thornley, ACNP-BC
• Rex Delane Thornley, LCSW

• Chiropractor in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.