Individual provider Active NPI

Travis Jordan Dockery, D.C.

  • Chiropractor
  • Livonia, MI
National Provider Identifier
1932551769
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010449 Issued in MI
Practice address
27620 Five Mile Rd
Livonia, MI 48154-3946
Phone
(734) 427-6333
Fax
(734) 427-6340
NPI assigned
Jul 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010449 MI Primary

Addresses

Primary practice location

27620 Five Mile Rd
Livonia, MI 48154-3946

Mailing address

27620 Five Mile Rd
Livonia, MI 48154-3946
Phone (734) 427-6333

Other practice location 1

9340 Wayne Rd
#100
Romulus, MI 48174-1569
Phone (734) 941-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160825001561 MI Practitioner - Chiropractic 0042505323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Travis Dockery DC PLLCGroup PAC ID 5597003228, 2 clinicians

Practice addresses (Care Compare)

27620 Five Mile Rd
Livonia, MI 48154-3946
Phone (734) 427-6333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010449MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Travis Dockery DC PLLC Chiropractor CurrentSince Feb 1, 2019 Accepting new patients

Locations

27620 5 Mile Rd
Livonia, MI 48154
Phone (734) 427-6333

Organizations & group practices 1

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": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1932551769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27620 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543946",
            "telephone_number": "734-427-6333",
            "fax_number": "734-427-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27620 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543946",
            "telephone_number": "734-427-6333",
            "fax_number": "734-427-6340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9340 Wayne Rd",
            "address_2": "#100",
            "address_purpose": "LOCATION",
            "city": "Romulus",
            "state": "MI",
            "postal_code": "481741569",
            "country_code": "US",
            "telephone_number": "734-941-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOCKERY",
        "first_name": "TRAVIS",
        "middle_name": "JORDAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-05",
        "last_updated": "2021-09-08",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.