WESTON DEHAVEN (DC) – Chiropractor, NPI 1164102406

WESTON DEHAVEN (DC) is a healthcare provider. based in Watervliet, Michigan. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 2301401441 (MI). The NPI Number for WESTON DEHAVEN (DC) is 1164102406

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
WESTON DEHAVEN (DC)
NPI
1164102406
Phone
(269) 463-4100
Address
PO BOX 245
Enumeration Date
21 July 2023
Last Update Date
11 March 2024

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
2694634100
Graduation Year
2023 (3 years ago)
PAC ID
5294198743
Professional Enrollment ID
I20230830003679
Address ID
MI490989396WA7652XHWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,869 CHIROPRACTIC in MI

Provider Addresses for WESTON DEHAVEN (DC)

  • PO BOX 245

    WATERVLIET, MI 490980245

    Phone: (269) 463-4100

    Type: Mailing

  • 7652 RED ARROW HWY

    WATERVLIET, MI 490989396

    Phone: (269) 463-4100

    Fax: (269) 463-4100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230830003679IChiropracticMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions11130$0
View full utilization report →

Insurance plans in this area (ZIP 49098)

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Reviews

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Frequently asked questions

How is WESTON DEHAVEN (DC) identified in CMS data?
CMS-hosted NPPES data lists WESTON DEHAVEN (DC) with NPI 1164102406.
Is WESTON DEHAVEN (DC) listed as active for patients and plans?
The listing shows WESTON DEHAVEN (DC) as active in the NPI system.
What is WESTON DEHAVEN (DC)'s primary classification?
Chiropractor is the headline specialty for WESTON DEHAVEN (DC) here. Clinical services aligned with this taxonomy classification.
Where is WESTON DEHAVEN (DC) based?
WESTON DEHAVEN (DC) is tied to Watervliet, Michigan in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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