Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407146582 Individual Practitioner Male Practitioner

Jordan R Divine

Chiropractor • Loogootee, IN

Professional Overview & Biography Verified Profile Summary

Jordan Divine is a registered healthcare professional specializing in Chiropractor in Loogootee, IN. Practice services are available at 404 N JOHN F KENNEDY AVE under active NPI credentials.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

404 N John F Kennedy Ave

Loogootee, IN 475531219

Telephone 8122955600
Fax 8122955700
Associated Practice Facility / Clinic
🏢 Divine Chiropractic Llc Facility NPI 1457649857

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Loogootee, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.7 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Loogootee, IN (1470 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
0.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
116 28 $35.00 $34.88

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License IN 08002579A

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Jip Yoon , MD

Internal Medicine

NPI 1972506418

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 28, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2011

Registered at 404 N JOHN F KENNEDY AVE, LOOGOOTEE, IN 475531219 (Tel: 8122955600)

📍
Updated Business Mailing Address June 28, 2011

Registered at 407 E MAIN ST, LOOGOOTEE, IN 475531241

👤
Provider Name / Credentials Updated June 28, 2011

Recorded as JORDAN DIVINE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2011

Chiropractor (License #08002579A in IN)

🟢
Initial NPI Registration & Enumeration April 11, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407146582
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2011
Last Update: June 28, 2011
Sole Proprietor: Yes

Mailing Address

407 E Main St

Loogootee, IN 475531241

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.