Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN SAMUEL DEHAVEN, DPM
ActiveJORDAN SAMUEL DEHAVEN, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in BRISTOL, Rhode Island. NPI 1750510988 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · BRISTOL, RI
Registration Details
- NPI Number
- 1750510988
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 9, 2009 (17.064607933668 yrs)
- Last Updated
- Jul 23, 2025
- License
-
DPM00328 (RI)
Practice Information
- Address
-
1180 HOPE STBRISTOL, RI, 028091126Browse RI providers · Browse ZIP 02809
- Phone
- 4012538900
- Fax
- 4012533131
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Other Foot & Ankle Surgery Podiatrist Providers in BRISTOL, RI
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL AARON REUTER | DPM | 1124356365 |
| DR. RYAN AMES | DPM | 1821667858 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.