DIVAN CHIROPRACTIC AND SPORTS REHABILITATION (NPI# 1942698998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942698998 |
| Entity Type | Organization |
| Organization Name | DIVAN CHIROPRACTIC AND SPORTS REHABILITATION |
| Practice Address |
8045 Big Bend Blvd 107 Saint Louis MO 63119-2714 |
| Mailing Address |
8045 Big Bend Blvd Suite 107 Saint Louis MO 63119-2714 |
| Practice Telephone | 3149617181 |
| Mailing Telephone | 3149617181 |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |
| Authorized Official Name | MRS. JANA WILLISON (OFFICE MANAGER) |
| Authorized Official Telephone | 3149617181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2014010441 | MO | Chiropractic Providers |
| Street Address |
8045 BIG BEND BLVD 107 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63119-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548249626 | William Dk Cragg | Chiropractor | 8045 Big Bend Blvd, Suite 107, Saint Louis, MO 63119-2714 | 2006-01-17 |
| 1316560444 | Heather Hewitt | Social Worker | 8045 Big Bend Blvd, Saint Louis, MO 63119-2709 | 2020-05-23 |
| 1902364540 | Heather Louise Fjone | Social Worker | 8045 Big Bend Blvd, Saint Louis, MO 63119-2709 | 2019-03-02 |
| 1801366216 | Julie Bernstein Davis | Social Worker | 8045 Big Bend Blvd, Saint Louis, MO 63119-2709 | 2018-11-28 |
| 1609095405 | St Louis Injury and Rehabilitation Center, LLC | Chiropractor | 8045 Big Bend Blvd, Suite 107, Saint Louis, MO 63119-2714 | 2007-04-24 |
| 1790838852 | Susan Anne Eilenberg | Social Worker | 8045 Big Bend Blvd, Suite 109, Saint Louis, MO 63119-2714 | 2007-01-19 |
| 1548344070 | Stacey Leigh Blair | Chiropractor | 8045 Big Bend Blvd, Suite 107, Saint Louis, MO 63119-2714 | 2006-10-24 |
| 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 | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170433 | Morgan P Morris | Chiropractor | 3611 S Grand Blvd Ste 200, Saint Louis, MO 63118-3403 | 2019-12-06 |
| 1891351193 | Alexander Johannes Olalani Mcguire | Chiropractor | 3247 Suson Ct Apt 1, Saint Louis, MO 63139-1832 | 2019-05-13 |
| 1386104727 | John Carroll Calhoun | Chiropractor | 2951 Dougherty Ferry Rd Ste 104, Saint Louis, MO 63122-3373 | 2019-03-21 |
| 1629548680 | Kathryn Bueltmann | Chiropractor | 4600 S Lindbergh Blvd Ste 2, Saint Louis, MO 63127-1831 | 2018-12-03 |
| 1073089413 | Benjamin Lee Gokenbach | Chiropractor | 4242 Telegraph Rd, Saint Louis, MO 63129-2658 | 2018-10-23 |
| 1376019992 | Young Ho Bok | Chiropractor | 8229 Clayton Rd Ste 204, Saint Louis, MO 63117-1155 | 2018-10-22 |
| 1952876732 | Paige Marie Dines | Chiropractor | 1883 W Monroe Rd Unit B, Saint Louis, MI 48880-8702 | 2018-10-09 |
| 1861975468 | Danielle Elise Pfyl Fishel | Chiropractor | 325 Watson Plz, Saint Louis, MO 63126-1964 | 2018-09-10 |
| 1447756093 | Meaghan Coleman | Chiropractor | 8949 Natural Bridge Rd, Saint Louis, MO 63121-3916 | 2018-04-03 |
| 1457854994 | Hunter Schaff | Chiropractor | 4625 Lindell Blvd Ste 401, Saint Louis, MO 63108-3725 | 2018-03-12 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63119 |
Please comment or provide details below to improve the information on DIVAN CHIROPRACTIC AND SPORTS REHABILITATION.
| 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.