DR. TODD LEE DIVAN DPM
NPI 1235201898
Podiatrist - Foot & Ankle Surgery in Union City, TN

Active since November 15, 2006
1415 E REELFOOT AVE, UNION CITY, TN 38261(731) 885-0220(731) 885-0216 Get Directions Write a Review

NPPES record last updated: May 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Todd Lee Divan Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TODD LEE DIVAN DPM (NPI 1235201898) is an individual foot & ankle surgery provider in Union City, Tennessee, licensed in Tennessee (734) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1235201898
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. TODD LEE DIVANCredential: DPM
Location Address1415 E REELFOOT AVEUnion City, TN 38261-5812
Mailing Address1415 E Reelfoot AveUnion City, TN 38261-5812 · (731) 885-0220 · Fax (731) 885-0216
Fax(731) 885-0216
Sole ProprietorYes
Enumeration DateNovember 15, 2006
Last NPPES UpdateMay 2, 2013
NPI 1235201898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in TN · 734
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License 016-004761 (IL)
1415 E REELFOOT AVE, Union City, TN 38261

Other Identifiers 7

Medicare UPIN10370G7165TN
Other09206992IL · Bcbs Insurance
Other480019679IL · Palmetto - Medicare
Medicare UPINU56776IL
Medicare UPIN103I487163TN
Medicare ID-Type Unspecified381750IL
Medicaid016-004-761IL

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
1415 E REELFOOT AVE
UNION CITY, TN 38261
Podiatrist (Foot Surgery)
1415 E REELFOOT AVE
UNION CITY, TN 38261
Durable Medical Equipment & Medical Supplies
1415 E REELFOOT AVE
UNION CITY, TN 38261

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Todd Divan's NPI number?

The NPI number for Todd Divan is 1235201898. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Todd Divan located?

Todd Divan practices at 1415 E Reelfoot Ave, Union City, TN 38261. The listed phone number is (731) 885-0220.

What is Todd Divan's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Todd Divan was last updated on May 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.