DR. NICHOLAS DIVAN (NPI# 1114343704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114343704 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS DIVAN |
| Credential | D.C. |
| Practice Address |
8045 Big Bend Blvd Ste 107 Saint Louis MO 63119-2714 |
| Practice Telephone | 3149617181 |
| Mailing Telephone | 3149617181 |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
2014010441 | MO | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 23331 Via Venado, Coto De Caza, CA 926793905 | 9496323477 |
| Street Address |
8045 BIG BEND BLVD STE 107 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63119-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225548290 | Brentwood Painstop LLC | Case Manager/Care Coordinator | 8045 Big Bend Blvd Ste 107, Saint Louis, MO 63119-2714 | 2017-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1053887612 | St. Gianna Pediatrics, LLC | Pediatrics | 7387 Watson Road, Shrewsbury, MO 63119 | 2018-10-22 |
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1568834489 | Antonio Robinson | Counselor | 330 N. Gore, Great Circle, Saint Louis, MO 63119 | 2015-10-30 |
| 1922484039 | Odessa Baker X | Dietary Manager | 525 N. Laclede Station Road, St. Louis, MO 63119 | 2015-07-31 |
| 1194114694 | Laura Maher | Social Worker | 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 | 2015-01-21 |
| 1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
| 1972872935 | Dolliene A. Raabe | Social Worker | 8050 Watson Road, Suite 201, St. Louis, MO 63119 | 2011-12-21 |
| Find all providers in zip 63119 | ||||
| Taxonomy Code | 111NR0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Rehabilitation |
| Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. |
| Notes: Source: The American Chiropractic Association (ACA) and the ACA Council on Physiological Therapeutics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164643680 | Tipler Chiropractic & Rehabilitation LLC | Chiropractor | 2050 Woodson Rd Ste 101, Saint Louis, MO 63114-5644 | 2007-05-01 |
| 1912103672 | James Robert Neuwirth | Chiropractor | 1099 Milwaukee St, Suite 230, Saint Louis, MO 63122-7356 | 2007-06-21 |
| 1164624268 | North County Chiropractic Center, Inc. | Chiropractor | 2359 Chambers Rd, Saint Louis, MO 63136-5548 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437496106 | Alternative Health and Medical Group, LLC | Chiropractor | 3637 South Ave, Springfield, MO 65807-5220 | 2013-01-14 |
| 1871851279 | William C Woodcock | Chiropractor | 17 Clarkson Rd, Ellisville, MO 63011-5009 | 2012-04-24 |
| 1467724120 | Health & Performance Center | Chiropractor | 11 Worthington Access Dr Ste D, Maryland Heights, MO 63043-3804 | 2012-01-27 |
| 1790066017 | Justin Adam Felsman | Chiropractor | 2643 Bennington Pl, Maryland Heights, MO 63043-1604 | 2011-08-31 |
| 1508159104 | Fredrick L Foster | Chiropractor | 3533 Dunn Rd Ste 230, Florissant, MO 63033-6761 | 2011-05-16 |
| 1306142930 | Parsons Chiropractic Sports Medicine | Chiropractor | 124 W North St, Peculiar, MO 64078-9422 | 2011-01-29 |
| 1326373085 | Elite Chiropractic Clinic Inc | Chiropractor | 8357 Nw Barrybrooke Dr, Kansas City, MO 64151-1024 | 2009-10-13 |
| 1740467364 | Dennis Earl Enix | Chiropractor | 721 Foxwick Dr, Ballwin, MO 63011-4234 | 2008-01-25 |
| 1992982946 | Donald S. Kreidler Chiropractic, PC | Chiropractor | 11901 Saint Charles Rock Rd, Bridgeton, MO 63044-2623 | 2008-01-22 |
| 1295937423 | Allied Physicians Group LLC | Chiropractor | 244 E Primrose St, Springfield, MO 65807-5206 | 2007-06-01 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63119 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.