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TRAVIS J DEARMON D.C.
NPI 1063603603
Chiropractor in Broken Arrow, OK

Active since August 08, 2007
4412 W. HOUSTON, BROKEN ARROW, OK 74012(918) 254-8700(918) 254-8711 Get Directions Write a Review

NPPES record last updated: January 28, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Travis J Dearmon D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRAVIS J DEARMON D.C. (NPI 1063603603) is an individual chiropractor in Broken Arrow, Oklahoma, licensed in Oklahoma (3846) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1063603603
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameTRAVIS J DEARMONCredential: D.C.
Location Address4412 W. HOUSTONBroken Arrow, OK 74012
Mailing Address4412 W. HoustonBroken Arrow, OK 74012 · (918) 254-8700 · Fax (918) 254-8711
Phone(918) 254-8700
Fax(918) 254-8711
Sole ProprietorYes
Enumeration DateAugust 8, 2007
Last NPPES UpdateJanuary 28, 2014
✔ NPI 1063603603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OK · 3846
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4412 W. HOUSTON, Broken Arrow, OK 74012
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Travis J Dearmon D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Travis Dearmon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Proactive Sport And Spine Plc
Same address
Chiropractor
4412 W HOUSTON ST
Broken Arrow, OK 74012
  • Reassigned Medicare billing, Oklahoma enrollment
NPI 1114260593 (918) 254-8700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Travis Dearmon's NPI number?

The NPI number for Travis Dearmon is 1063603603. It was assigned to this individual provider in the NPPES registry on August 8, 2007.

Where is Travis Dearmon located?

Travis Dearmon practices at 4412 W. Houston, Broken Arrow, OK 74012. The listed phone number is (918) 254-8700.

What is Travis Dearmon's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Travis Dearmon enrolled in Medicare?

Yes. Travis Dearmon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Travis Dearmon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Travis Dearmon reassigns Medicare benefits to Proactive Sport And Spine Plc (Broken Arrow, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Travis Dearmon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Travis Dearmon accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare and Mending Health list Travis Dearmon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Travis Dearmon was last updated on January 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.