Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Samuel Dehaven, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1750510988

Jordan Samuel Dehaven, DPM is a Podiatry in Bristol, Rhode Island. Graduated from New York College of Podiatric Medicine in 2007, 19 years ago. Practices with Medical Associates of Ri, Inc, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
19
Trained at
New York College of Podiatric Medicine
Licensed in
RI
In the registry since
2009
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

1180 Hope St
Bristol, RI 02809-1126
Phone: (401) 253-8900
Fax: (401) 253-3131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 825 Chalkstone Ave, Providence, RI 02908-4728 — (401) 456-2451

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence DPM00328 (RI)

Record details

NPI number1750510988
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 9, 2009
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2007 (19 years in practice)
Group practice Medical Associates Of Ri, Inc. — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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