DEHAVEN CHIROPRACTIC CLINIC, INC
NPI 1851525893
Chiropractor in White Bear Lake, MN

Active since May 05, 2009
4505 WHITE BEAR PKWY STE 2200, WHITE BEAR LAKE, MN 55110(651) 429-3015 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dehaven Chiropractic Clinic, Inc NPPES

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

DEHAVEN CHIROPRACTIC CLINIC, INC (NPI 1851525893) is a healthcare organization registered as a chiropractor in White Bear Lake, Minnesota and active in the NPI registry since May 2009. The organization lists Renee K Dehaven, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1851525893
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDEHAVEN CHIROPRACTIC CLINIC, INC
Location Address4505 WHITE BEAR PKWY STE 2200White Bear Lake, MN 55110-3699
Mailing Address20681 July Ave NForest Lake, MN 55025-9173 · (651) 429-3015
Organization SubpartNo
Authorized OfficialRenee K DehavenOffice Manager · (651) 429-3015
Enumeration DateMay 5, 2009
Last NPPES UpdateMarch 13, 2023
NPPES CertifiedMarch 13, 2023
✔ NPI 1851525893 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.
4505 WHITE BEAR PKWY STE 2200, White Bear Lake, MN 55110

Other Identifiers 1

Other59969-DEMN · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dehaven Chiropractic Clinic, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dehaven Chiropractic Clinic, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1609095454
1060 CENTERVILLE CIR
Saint Paul, MN 55127
(651) 429-3015
✔ Accepts Medicare0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dehaven Chiropractic Clinic, Inc's NPI number?

The NPI number for Dehaven Chiropractic Clinic, Inc is 1851525893. It was assigned to this organization in the NPPES registry on May 5, 2009.

Where is Dehaven Chiropractic Clinic, Inc located?

Dehaven Chiropractic Clinic, Inc is located at 4505 White Bear Pkwy Ste 2200, White Bear Lake, MN 55110. The listed phone number is (651) 429-3015.

What is Dehaven Chiropractic Clinic, Inc's specialty?

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

Is Dehaven Chiropractic Clinic, Inc enrolled in Medicare?

Yes. Dehaven Chiropractic Clinic, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dehaven Chiropractic Clinic, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Dehaven Chiropractic Clinic, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dehaven Chiropractic Clinic, Inc was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.