TRAVIS WAYNE SULLIVAN (D.C.) – Chiropractor, NPI 1912138348

TRAVIS WAYNE SULLIVAN (D.C.) is a healthcare provider. based in Prosper, Texas. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 01-05275 (KS). The NPI Number for TRAVIS WAYNE SULLIVAN (D.C.) is 1912138348

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
TRAVIS WAYNE SULLIVAN (D.C.)
NPI
1912138348
Phone
(972) 347-9933
Address
101 E BROADWAY ST
Enumeration Date
3 August 2009
Last Update Date
3 February 2023

Doctor Profile

Medical School Name
CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
Secondary Phone
9723479933
Graduation Year
2008 (18 years ago)
PAC ID
3971860628
Group Practice PAC ID
6305251000
Professional Enrollment ID
I20230303001751
Address ID
TX750782934PR101XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

2,110 CHIROPRACTIC in TX

Provider Addresses for TRAVIS WAYNE SULLIVAN (D.C.)

  • 101 E BROADWAY ST

    PROSPER, TX 750782934

    Phone: (972) 347-9933

    Fax: (682) 292-2997

    Type: Mailing

  • 3320, Clinton Parkway Court, Lawrence, Douglas County, Kansas, 66047, United States

    SUITE 200

    LAWRENCE, KS 660472629

    Phone: (785) 843-0367

    Fax: (785) 843-1166

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230303001751IChiropracticTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75078)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305251000View full group profile
NameSpecialtyState
C H I R O P R A C T I CTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for TRAVIS WAYNE SULLIVAN (D.C.)?
TRAVIS WAYNE SULLIVAN (D.C.) — NPI 1912138348 — is the standard way to identify this listing.
Is TRAVIS WAYNE SULLIVAN (D.C.) still practicing?
TRAVIS WAYNE SULLIVAN (D.C.) is currently listed as active in the public NPI registry.
What taxonomy line describes TRAVIS WAYNE SULLIVAN (D.C.)?
For research purposes, treat TRAVIS WAYNE SULLIVAN (D.C.) as Chiropractor in this dataset. Clinical services aligned with this taxonomy classification.
What area does TRAVIS WAYNE SULLIVAN (D.C.) serve?
TRAVIS WAYNE SULLIVAN (D.C.)'s listing highlights Prosper, Texas; more addresses can appear in NPPES.
Why does TRAVIS WAYNE SULLIVAN (D.C.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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