Individual provider Active NPI

Travis J Tann, DC

  • Chiropractor
  • Reedsburg, WI
National Provider Identifier
1972742641
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4477-012 Issued in WI
Practice address
420 Viking Dr
Reedsburg, WI 53959-1675
Phone
(608) 524-2616
Fax
(608) 524-3697
NPI assigned
Feb 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4477-012 WI Primary

Addresses

Primary practice location

420 Viking Dr
Reedsburg, WI 53959-1675

Mailing address

420 Viking Dr
Reedsburg, WI 53959-1675
Phone (608) 524-2616

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101006000894 WI Practitioner - Chiropractic 0042402257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Chiropractic and Rehab Center LLCGroup PAC ID 8527306422, 2 clinicians

Practice addresses (Care Compare)

840 Water Ave
Hillsboro, WI 54634-6213
Phone (608) 489-4263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4477-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic and Rehab Center LLC Chiropractor CurrentSince Mar 10, 2025 Accepting new patients
Anderson Chiropractic Office, SC Chiropractor CurrentSince Feb 10, 2018 Accepting new patients

Locations

1104B Academy St
Elroy, WI 53929
Phone (608) 462-2225

840 Water Ave
Hillsboro, WI 54634
Phone (608) 489-4263

420 Viking Dr
Reedsburg, WI 53959
Phone (608) 524-2616

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": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1972742641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 VIKING DR",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591675",
            "telephone_number": "608-524-2616",
            "fax_number": "608-524-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 VIKING DR",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591675",
            "telephone_number": "608-524-2616",
            "fax_number": "608-524-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANN",
        "first_name": "TRAVIS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-19",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4477-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.