Shane Dehaven, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009300 Issued in GA

Practice address

393 Eh CT
Brunswick, GA 31520-2197

Phone

(716) 725-3538

NPI assigned

Apr 21, 2014

Last updated

Apr 21, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1285054916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 EH CT",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315202197",
            "telephone_number": "716-725-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 EH CT",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315202197",
            "telephone_number": "716-725-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHAVEN",
        "first_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kerle Deal, CCC/SLP
• Summer Mariah King Deason, OTRL
• Mahal Deck, WHNP-BC
• Jack Melvin Deese Jr., M.D.
• Cassandra Dehaney, LPC
• Alisha Lynn Delgado, NBHWC
• Shayna Denham
• Denice Starley, DO, LLC (Sea Star Pain Specialists, Physical Medicine and Weight Loss)
• Nancy A Denlea, M.D.
• Lashonda Denson

• Chiropractor in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.