Diversified Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034371 Issued in WA

Legal business name

DIVERSIFIED WELLNESS CENTER

Practice address

1463 E Republican St # 9a
Seattle, WA 98112-4517

Phone

(206) 568-1091

Fax

(206) 568-1092

NPI assigned

Aug 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Xavier Berjac, D.C.

Title

President

Phone

(206) 568-1091

Specialties & licenses 1

Addresses

Other names 1

• Physiques Health and Wellness Center Doing business as

Locations

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1952559338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 E REPUBLICAN ST # 9A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124517",
            "telephone_number": "206-568-1091",
            "fax_number": "206-568-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 E REPUBLICAN ST # 9A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124517",
            "telephone_number": "206-568-1091",
            "fax_number": "206-568-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "BERJAC",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "XAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-568-1091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physiques Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leann Y Dittmar, PHARMD
• Judy Dittmer, SLP
• Deanna Lynn Diulio, WHNP, CNM
• Mukul Kiran Divatia, MD
• Divergent Wellbeing
• Lauren Divine, LMT
• Jazmin Divsar
• Daniel J Dixon, ND
• Dominique Dixon, MD
• Galina S Dixon, NP

• Chiropractor in Seattle, WA
• Providers in Seattle, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.