Drivere Chiropractic & Wellness P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009266 Issued in PA

Legal business name

DRIVERE CHIROPRACTIC & WELLNESS P.C.

Practice address

212 W Vine St
New Wilmington, PA 16142-1206

Phone

(724) 946-9410

Fax

(724) 946-9411

NPI assigned

Feb 6, 2013

Last updated

May 9, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jason David Drivere, D.C.NPI 1932283637

Title

Owner

Phone

(724) 946-9410

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in PA, SC2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason David Drivere, D.C.

  • Chiropractor
  • New Wilmington, PA
  • NPI 1932283637

  SC

  Medicare reassignment NPD Authorized official
• Heather Nicole Allen, D.C.

  • Chiropractor
  • New Wilmington, PA
  • NPI 1205135241
  NPD
• Jane P Solomon, DC

  • Chiropractor
  • Aiken, SC
  • NPI 1306815816
  NPD
• Marion M Fraser, DC

  • Chiropractor
  • Essex Junction, VT
  • NPI 1851468326
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1720327018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W VINE ST",
            "city": "NEW WILMINGTON",
            "state": "PA",
            "postal_code": "161421206",
            "telephone_number": "724-946-9410",
            "fax_number": "724-946-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W VINE ST",
            "city": "NEW WILMINGTON",
            "state": "PA",
            "postal_code": "161421206",
            "telephone_number": "724-946-9410",
            "fax_number": "724-946-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIVERE CHIROPRACTIC & WELLNESS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "DRIVERE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-946-9410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017114200001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1557167",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "210569918001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6882206",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM",
            "identifier": "695320",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "720816",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/HEALTH ASSURANCE",
            "identifier": "421641217",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "001638338",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7432637",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristy A. Carnahan, MSED, LPC
• Donald Vincent Cavanaugh, PA-C
• Lawrence E. Cross, LCSW
• Renay Lette Crouse, LISW
• Margaret G Delposen I, MD
• Jason David Drivere, D.C.
• Rachael Dunahoo, ATC
• Family Medical Care of Lawrence County
• Family Medical Care of Lawrence County, Inc
• Family Medical Care of Lawrence County, Inc

• Chiropractor in New Wilmington, PA
• Providers in New Wilmington, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.