NPIMap

Organization Active NPI

Travis Chiropractic Center, Ubo

  • Medical Specialty Clinic/Center
  • Bastrop, TX
National Provider Identifier
1982139713
Registry record updated Apr 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
4037 Issued in TX
Legal business name
TRAVIS CHIROPRACTIC CENTER, UBO
Doing business as
Travis Chiropractic Center
Practice address
45 Loop 150 W
Bastrop, TX 78602-3930
Phone
(512) 321-4481
Fax
(512) 321-9737
NPI assigned
Apr 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2017

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

Authorized official

Name
Dr. Edwin J Travis, D.C.NPI 1043369945
Title
Managing Director
Phone
(512) 321-4481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 4037 TX Primary

Addresses

Primary practice location

45 Loop 150 W
Bastrop, TX 78602-3930

Mailing address

45 Loop 150 W
Bastrop, TX 78602-3930
Phone (512) 321-4481

Other names 1

  • Travis Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

45 Loop 150 W
Bastrop, TX 78602
Phone (512) 321-4481

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493510400000",
    "number": "1982139713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 LOOP 150 W",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023930",
            "telephone_number": "512-321-4481",
            "fax_number": "512-321-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 LOOP 150 W",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023930",
            "telephone_number": "512-321-4481",
            "fax_number": "512-321-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS CHIROPRACTIC CENTER, UBO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-30",
        "last_updated": "2017-04-30",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "512-321-4481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "4037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Travis Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.