DEHAVEN CHIROPRACTIC CLINIC, INC (NPI# 1851525893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851525893 |
| Entity Type | Organization |
| Organization Name | DEHAVEN CHIROPRACTIC CLINIC, INC |
| Practice Address |
1060 Centerville Cir Vadnais Heights MN 55127-6344 |
| Practice Telephone | 6514293015 |
| Practice Fax Number | 6516533832 |
| Mailing Telephone | 6514293015 |
| Mailing Fax Number | 6516533832 |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2009-10-21 |
| Authorized Official Name | MRS. RENEE K DEHAVEN (OFFICE MANAGER) |
| Authorized Official Telephone | 6514293015 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2585 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 59969-DE | 01 |
| Street Address |
1060 CENTERVILLE CIR |
| City | VADNAIS HEIGHTS |
| State | MN |
| Zip Code | 55127-6344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659304160 | Nathaniel Eli Pochucha | Chiropractor | 1060 Centerville Cir, Vadnais Heights, MN 55127-6344 | 2006-07-08 |
| 1508124157 | Randy Scott Miland | Chiropractor | 1060 Centerville Cir, Vadnais Heights, MN 55127-6344 | 2012-05-01 |
| 1912277195 | Apogee Chiropractic Ltd | Chiropractor | 1060 Centerville Cir, Vadnais Heights, MN 55127-6344 | 2012-01-05 |
| 1043549504 | Tracy B Zarembinski | Massage Therapist | 1060 Centerville Cir, Vadnais Heights, MN 55127-6344 | 2009-12-12 |
| 1235361312 | Hope Wilkins | Massage Therapist | 1060 Centerville Cir, Vadnais Heights, MN 55127-6344 | 2009-08-21 |
| 1558377929 | Life Family Chiropractic, Inc | Chiropractor | 1060 Centerville Cir, Vadnais Heights, MN 55127-6344 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514058 | Taylor Nessa Draves | Behavior Technician | 1011 Meadowlamds Dr, White Bear Lake, MN 55127 | 2020-10-02 |
| 1578104196 | Patricia Lynn Bina | Technician | 3677 Centerville Rd, Vadnais Heights, MN 55127 | 2019-10-04 |
| 1023538469 | Dignicare Senior Management of Vadnais | Assisted Living Facility | 580 Liberty Way, Vadnais Heights, MN 55127 | 2017-06-27 |
| 1548610207 | Golden Elderly Care Suites LLC | Assisted Living Facility | 4624 Stoddart Circle, White Bear Lake, MN 55127 | 2016-06-14 |
| 1811018203 | Adam F Curtis | Dentist | 925 East County Road E, Suite 185, Vadnais Heights, MN 55127 | 2007-04-03 |
| 1134215700 | Phoenix Residence, Inc. | Intermediate Care Facility, Mentally Retarded | 785 E County Road E, Vadnais Heights, NE 55127 | 2006-10-04 |
| 1861404790 | Gerald James Pease | Optometrist | 850 East Co Rd E, Walmart Vision Center, Vadnais Heights, MN 55127 | 2006-08-12 |
| 1235629395 | Suite Living Senior Management | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55127 | 2018-05-15 |
| 1760986624 | Diandra Shakira Williams | Physician Assistant | 3580 Arcade St, Vadnais Heights, MN 55127 | 2018-03-23 |
| 1811370729 | Sonya L Knudson | Psychologist | 4444 Centerville Rd Ste 235, White Bear Lake, MN 55127 | 2015-07-09 |
| Find all providers in zip 55127 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669954038 | James Francis Ryan | Chiropractor | 787 Parkside Dr, Vadnais Heights, MN 55127-3633 | 2018-09-03 |
| 1083897243 | Urwc, Pa | Chiropractor | 1654 County Road E E, Vadnais Heights, MN 55110-4637 | 2007-12-11 |
| 1043356371 | Mike Jon Hallingstad | Chiropractor | 1038 Centerville Cir, Vadnais Heights, MN 55127-6344 | 2007-01-30 |
| 1568527877 | Vadnais Heights Chiropractic | Chiropractor | 1146 E County Road E, Vadnais Heights, MN 55110 | 2006-12-27 |
| 1790863371 | Matthew John Amundgaard | Chiropractor | 1146 East County Road E, Vadnais Heights, MN 55110 | 2006-11-01 |
| 1437233814 | Homecare Chiropractic, P.a. | Chiropractor | 3636 Oak Creek Ter, Vadnais Heights, MN 55127-7034 | 2006-10-24 |
| 1659304160 | Nathaniel Eli Pochucha | Chiropractor | 1060 Centerville Cir, Vadnais Heights, MN 55127-6344 | 2006-07-08 |
| 1508124157 | Randy Scott Miland | Chiropractor | 1060 Centerville Cir, Vadnais Heights, MN 55127-6344 | 2012-05-01 |
| 1912277195 | Apogee Chiropractic Ltd | Chiropractor | 1060 Centerville Cir, Vadnais Heights, MN 55127-6344 | 2012-01-05 |
| 1558377929 | Life Family Chiropractic, Inc | Chiropractor | 1060 Centerville Cir, Vadnais Heights, MN 55127-6344 | 2006-07-31 |
| Find all providers in VADNAIS HEIGHTS | ||||
| City | VADNAIS HEIGHTS |
| Zip Code | 55127 |
Please comment or provide details below to improve the information on DEHAVEN CHIROPRACTIC CLINIC, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.