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DETTLING CHIROPRACTIC REHAB AND PERFORMANCE PLLC
NPI 1083081418
Chiropractor in Brooklyn Center, MN

Active since September 02, 2015
615 66TH AVE N, BROOKLYN CENTER, MN 55430(763) 560-8980(763) 560-0611 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dettling Chiropractic Rehab And Performance Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DETTLING CHIROPRACTIC REHAB AND PERFORMANCE PLLC (NPI 1083081418) is a healthcare organization registered as a chiropractor in Brooklyn Center, Minnesota and active in the NPI registry since September 2015. The organization lists Paul Jeffrey Dettling, Owner/ Head Doctor, as its authorized official.

NPPES Registry Identity

NPI1083081418
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDETTLING CHIROPRACTIC REHAB AND PERFORMANCE PLLC
Location Address615 66TH AVE NBrooklyn Center, MN 55430-1667
Mailing Address615 66th Ave N Ste 2Brooklyn Center, MN 55430-1666 · (763) 560-8980 · Fax (763) 560-0611
Phone(763) 560-8980
Fax(763) 560-0611
Organization SubpartNo
Authorized OfficialPaul Jeffrey DettlingOwner/ Head Doctor · (763) 560-8980
Enumeration DateSeptember 2, 2015
Last NPPES UpdateJune 23, 2025
NPPES CertifiedJune 23, 2025
✔ NPI 1083081418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 6125
Definition
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.
615 66TH AVE N, Brooklyn Center, MN 55430
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dettling Chiropractic Rehab And Performance Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dettling Chiropractic Rehab And Performance PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Paul Dettling, D.C.
Chiropractic
NPI 1306213798
615 66TH AVE N
Brooklyn Center, MN 55430
(763) 560-8980
✔ Accepts MedicareSame address
Lance Maki, D.C.
Chiropractic
NPI 1033668728
607 COUNTY ROAD 10 NE SUITE 104
Blaine, MN 55434
(763) 432-3921
✔ Accepts Medicare4.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dettling Chiropractic Rehab And Performance PLLC's NPI number?

The NPI number for Dettling Chiropractic Rehab And Performance PLLC is 1083081418. It was assigned to this organization in the NPPES registry on September 2, 2015.

Where is Dettling Chiropractic Rehab And Performance PLLC located?

Dettling Chiropractic Rehab And Performance PLLC is located at 615 66th Ave N, Brooklyn Center, MN 55430. The listed phone number is (763) 560-8980.

What is Dettling Chiropractic Rehab And Performance PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Dettling Chiropractic Rehab And Performance PLLC enrolled in Medicare?

Yes. Dettling Chiropractic Rehab And Performance PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dettling Chiropractic Rehab And Performance PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Dettling Chiropractic Rehab And Performance PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dettling Chiropractic Rehab And Performance PLLC accept?

Health plans from HealthPartners list Dettling Chiropractic Rehab And Performance PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dettling Chiropractic Rehab And Performance PLLC was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.