100 Chiro Dehaven PLLC
NPI 1780368340ActiveOrganization· Chiropractor· Lake Mary, FL
Chiropractor in Lake Mary, Florida, registered in NPPES in June 2023. The authorized official on file is Dorian Eugene Dehaven, DC, Chiropractor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780368340 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2023 |
| Last updated in NPPES | Jun 18, 2024 |
| Certified by provider | Jun 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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