Individual provider Active NPI

Deborah K. Havens-Wren, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1912995366
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
23271 Issued in CA
Practice address
3650 Clairemont Dr
1-B
San Diego, CA 92117-5908
Phone
(858) 274-1910
Fax
(858) 274-1911
NPI assigned
Oct 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 23271 CA Primary

Addresses

Primary practice location

3650 Clairemont Dr
1-B
San Diego, CA 92117-5908

Mailing address

1105 Gardena Rd
Encinitas, CA 92024-4645
Phone (760) 942-2593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23271CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912995366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 GARDENA RD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244645",
            "telephone_number": "760-942-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 CLAIREMONT DR",
            "address_2": "1-B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175908",
            "telephone_number": "858-274-1910",
            "fax_number": "858-274-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVENS-WREN",
        "first_name": "DEBORAH",
        "middle_name": "K.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.