Jordan Samuel Dehaven
DPM | Podiatrist - Foot & Ankle Surgery | 18+ years Exp
Medicare Enrolled
1180 Hope St, Bristol
Rhode Island, 02809-1126
401-253-8900 401-253-3131
Maps & DirectionsJordan Samuel Dehaven is a Bristol, Rhode Island based podiatrist with 18 years of experience in Podiatric Foot & Ankle Surgery. He completed his graduation from New York College Of Podiatric Medicine in 2007. He is also affiliated with hospitals like Roger Williams Medical Center and The Miriam Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jordan Samuel Dehaven for Podiatric Foot & Ankle Surgery is DPM00328 in Rhode Island.
Jordan Samuel Dehaven provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common to complex disorders and injuries that affect people of all ages. He is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Jordan Samuel Dehaven speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatric Foot & Ankle Surgery |
| Credentials: | DPM |
| Experience: | 18+ years |
| Medical School Attended: | New York College Of Podiatric Medicine |
| Graduation Year: | 2007 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1180 Hope St, Bristol, Rhode Island, 02809-1126 |
| Phone: | 401-253-8900 |
| Fax: | 401-253-3131 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9739211400 |
| Enrollment ID: | I20100715000327 |
| NPI Number: | 1750510988 |
| NPI Enumeration Date: | 09 Jul, 2009 |
| NPI Last Update On: | 23 Jul, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jordan Samuel Dehaven are as mentioned below.
| License Number | Specialization | State | Status | |
| DPM00328 | Podiatric Foot & Ankle Surgery | Rhode Island | Primary | |
Hospital Affiliation:
Doctors are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Roger Williams Medical Center (410004) | Providence, RI | Acute Care Hospital |
| The Miriam Hospital (410012) | Providence, RI | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jordan Samuel Dehaven is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Medical Associates Of Ri, Inc. (3375432040) | 36 |
| Prospect Chartercare Rwmc, Llc (0547492696) | 53 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jordan Samuel Dehaven such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| JD81548 | Medicaid | Rhode Island | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1180 Hope St, Bristol, Rhode Island |
| Zip: | 02809-1126 |
| Phone Number: | 401-253-8900 |
| Fax Number: | 401-253-3131 |
Patients can reach Jordan Samuel Dehaven at
1180 Hope St, Bristol, Rhode Island or can
call to book an appointment on 401-253-8900.
Comments/ Reviews:
Patients can read all the reviews posted for Jordan Samuel Dehaven below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Jordan Samuel Dehaven. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.