Andrew A Dehaven, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007097 Issued in MI

Practice address

7652 Red Arrow Hwy
Watervliet, MI 49098-9396

Phone

(269) 463-5700

Fax

(269) 463-3645

NPI assigned

May 8, 2006

Last updated

Apr 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI, TX2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pokagon Band of Potawatomi IndiansGroup PAC ID 3476455445, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

67.89 of 100Reported as group

Quality

100

Promoting interoperability

0

Improvement activities

40

Cost

76.31

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pokagon Band of Potawatomi Indians

  dba Pokagon Health Service

  • Federally Qualified Health Center (FQHC)
  • Dowagiac, MI
  • NPI 1497833271

  TX

  Medicare reassignment Care Compare group NPD
• Health & Fitness for Life, LLC

  dba Lifestyle Chiropractic

  • Chiropractor
  • Watervliet, MI
  • NPI 1528325669
  Authorized official Same address or phone
• A&W Red Arrow Chiropractic LLC

  dba Lifestyle Chiropractic

  • Chiropractor
  • Watervliet, MI
  • NPI 1639948391
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1093764292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7652 RED ARROW HWY",
            "address_2": "PO BOX 245",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "490989396",
            "telephone_number": "269-463-5700",
            "fax_number": "269-463-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7652 RED ARROW HWY",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "490989396",
            "telephone_number": "269-463-5700",
            "fax_number": "269-463-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHAVEN",
        "first_name": "ANDREW",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "950A15056",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chul Chang, M.D.
• Community Hospital
• Community Hospital
• Community Hospital (Bangor Medical Center)
• Jonathon Andrew Covyeou, PHARM D
• Weston Dehaven, DC
• Diagnostic Services, LLC
• Dialysis Newco LLC (DSI Watervilet Dialysis)
• Dsi Watervliet, LLC (U.S. Renal Care Watervliet Dialysis)
• Flowing Waters Emergency Physicians

• Chiropractor in Watervliet, MI
• Providers in Watervliet, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.