Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1164976536 Deactivated / Inactive NPI Male Practitioner

Dr. Dorian Dehaven , DC

Chiropractor • Lake Mary, FL

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Dorian Dehaven has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 15, 2016
NPI Deactivation Date June 14, 2024
Total Practice Duration ~10 Years of Practice (2014 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Dorian Dehaven, DC was a registered Chiropractor in Lake Mary, FL. Prior to record deactivation on 2024-06-14, Dr. Dehaven completed approximately 10 years of clinical practice following graduation from Life Chiropractic College in 2014.

Dr. Dehaven accepted Medicare assignment.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

446 Rinehart Rd

Lake Mary, FL 327465242

Telephone 6168260275
Associated Practice Facility / Clinic
🏢 100 Chiro Dehaven Pllc Facility NPI 1780368340

Medicare Profile & Education

Medical School

Life Chiropractic College

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Lake Mary, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -2.2 yrs vs City Avg
City Avg: 14.2 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
37 Specialists

Practicing in Lake Mary, FL (7309 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
20.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dehaven (12 Years) 12 Yrs
Lake Mary Specialty Average (14.2 Years) 14.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
73 11 $50.00 $40.01

Medical Specialties & State Licenses

CMS Verified: 2024-12-10
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License FL CH-14648

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.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License MI 2301010481

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.

Secondary Practice Locations

10990 Chicago Dr

Zeeland, MI 494648100

Phone: 6165463500

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location December 10, 2024

Registered at 446 RINEHART RD, LAKE MARY, FL 327465242 (Tel: 6168260275)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2024

Chiropractor (License #2301010481 in MI)

📍
Updated Practice Location August 12, 2024

Registered at 10990 CHICAGO DR, ZEELAND, MI 494648100 (Tel: 6165463500)

📍
Updated Business Mailing Address August 12, 2024

Registered at 446 RINEHART RD, LAKE MARY, FL 327465242 (Tel: 6168260381)

👤
Provider Name / Credentials Updated August 12, 2024

Recorded as DORIAN DEHAVEN, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2024

Chiropractor (License #CH-14648 in FL)

⚠️
NPI Profile Deactivated June 14, 2024

Record deactivated on June 14, 2024

📍
Updated Practice Location August 22, 2023

Registered at 10990 CHICAGO DR, ZEELAND, MI 494648100 (Tel: 6165463500)

📍
Updated Business Mailing Address August 22, 2023

Registered at 446 RINEHART RD, LAKE MARY, FL 327465242 (Tel: 6168260381)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2023

Chiropractor (License #CH-14648 in FL)

NPI Profile Active August 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2016

Registered at 1125 E SHERMAN BLVD, NORTON SHORES, MI 494441809 (Tel: 2318301111)

📍
Updated Business Mailing Address August 15, 2016

Registered at 1125 E SHERMAN BLVD, NORTON SHORES, MI 494441809 (Tel: 2318301111)

👤
Provider Name / Credentials Updated August 15, 2016

Recorded as DORIAN DEHAVEN, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2016

Chiropractor (License #2301010481 in MI)

🟢
Initial NPI Registration & Enumeration August 15, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164976536
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2016
Last Update: December 10, 2024
Deactivation Date: June 14, 2024
Sole Proprietor: No

Mailing Address

446 Rinehart Rd

Lake Mary, FL 327465242

Phone: 6168260381

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.