DR. STEPHAN MARK DEHAVEN D.C.
NPI 1609095454
Chiropractor in Saint Paul, MN

Q: What is Stephan Dehaven's NPI number?

The NPI number for Stephan Dehaven is 1609095454. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Q: What is Stephan Dehaven's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stephan Dehaven was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 24, 2007Accepts Medicare Assignment

1060 CENTERVILLE CIR, SAINT PAUL, MN 55127(651) 429-3015(651) 653-3832 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Stephan Mark Dehaven D.c. NPPES

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

DR. STEPHAN MARK DEHAVEN D.C. (NPI 1609095454) is an individual chiropractor in Saint Paul, Minnesota, licensed in Minnesota (2585) and active in the NPI registry since April 2007. He is a graduate of Northwestern College Of Chiropractic (1988).

NPPES Registry Identity

NPI1609095454

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. STEPHAN MARK DEHAVENCredential: D.C.

Location Address1060 CENTERVILLE CIRSaint Paul, MN 55127-6344

Mailing Address1060 Centerville CirSaint Paul, MN 55127-6344 · (651) 429-3015 · Fax (651) 653-3832

Phone(651) 429-3015

Fax(651) 653-3832

Sole ProprietorNo

Medical School CMSNorthwestern College Of ChiropracticGraduated 1988

Enumeration DateApril 24, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1609095454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MN · 2585

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.

1060 CENTERVILLE CIR, Saint Paul, MN 55127

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Other Identifiers 1

Other59969DEMN · Minnesota

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephan Mark Dehaven D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052384039

PECOS Enrollment IDI20040817001358

Other Providers at the Same Location NPPES 6

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

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