Active NPI
John M Divelbiss, D.C.
- Chiropractor
- Hilliard, OH
National Provider Identifier
1417032657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 962
- Practice address
- 3974 Brown Park Dr
Suite C
Hilliard, OH 43026-1168 - Phone
- (614) 529-8171
- Fax
- (614) 529-1312
- NPI assigned
- Oct 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 962 | OH | Primary |
Addresses
Primary practice location
3974 Brown Park Dr
Suite C
Hilliard, OH 43026-1168
Mailing address
3974 Brown Park Dr
Suite C
Hilliard, OH 43026-1168
Phone (614) 529-8171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 962 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417032657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3974 BROWN PARK DR",
"address_2": "SUITE C",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430261168",
"telephone_number": "614-529-8171",
"fax_number": "614-529-1312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3974 BROWN PARK DR",
"address_2": "SUITE C",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430261168",
"telephone_number": "614-529-8171",
"fax_number": "614-529-1312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIVELBISS",
"first_name": "JOHN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilliard, OH
- Benjamin Lane Dickerson, PT, DPT, ATC
- Jaclyn A. Dight, PAC
- Crystal Dawn Dill, COTA
- Luke Dinan, PT, DPT
- Discount Drug Mart Inc (Discount Drug Mart)
- Brian T. DO, MSN, APRN, FNP-BC
- Courtney Dobson, MSW, LISW
- Doctors Primary Care - Hilliard, Inc
- Doctors Primary Care - Mill Run, Inc.
- Christina F Doelling, MS CC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.