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DR. BREANNA YOUNG TIVY-DEBAUCHE D.C.
NPI 1306174289
Chiropractor in Minnetonka, MN

Active since December 03, 2009
14525 HIGHWAY 7 STE 115, MINNETONKA, MN 55345(952) 746-5612 Get Directions Write a Review

NPPES record last updated: January 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Breanna Young Tivy-debauche D.c. NPPES

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

DR. BREANNA YOUNG TIVY-DEBAUCHE D.C. (NPI 1306174289) is an individual chiropractor in Minnetonka, Minnesota, licensed in Minnesota (5299) and active in the NPI registry since December 2009. She is a graduate of Northwestern College Of Chiropractic (2008).

NPPES Registry Identity

NPI1306174289
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. BREANNA YOUNG TIVY-DEBAUCHECredential: D.C.
Location Address14525 HIGHWAY 7 STE 115Minnetonka, MN 55345-3738
Mailing Address14525 Highway 7 Ste 115Minnetonka, MN 55345-3738 · (952) 746-5612 · Fax (952) 229-4153
Phone(952) 746-5612
Sole ProprietorYes
Medical School CMSNorthwestern College Of ChiropracticGraduated 2008
Enumeration DateDecember 3, 2009
Last NPPES UpdateJanuary 11, 2018
✔ NPI 1306174289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 5299
Definition
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.
14525 HIGHWAY 7 STE 115, Minnetonka, MN 55345
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Breanna Young Tivy-debauche D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375679277
PECOS Enrollment IDI20100330001097

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 Breanna Tivy-debauche's NPI number?

The NPI number for Breanna Tivy-debauche is 1306174289. It was assigned to this individual provider in the NPPES registry on December 3, 2009.

Where is Breanna Tivy-debauche located?

Breanna Tivy-debauche practices at 14525 Highway 7 Ste 115, Minnetonka, MN 55345. The listed phone number is (952) 746-5612.

What is Breanna Tivy-debauche's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Breanna Tivy-debauche enrolled in Medicare?

Yes. Breanna Tivy-debauche is registered in the Medicare PECOS enrollment system.

What insurance does Breanna Tivy-debauche accept?

Health plans from HealthPartners and Medica list Breanna Tivy-debauche as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Breanna Tivy-debauche was last updated on January 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.