PINE CITY FAMILY CHIROPRACTIC
NPI 1093816258
Chiropractor in Circle Pines, MN

Active since September 26, 2006
620 CIVIC HEIGHTS DR, SUITE 108, CIRCLE PINES, MN 55014(763) 795-8300(763) 795-8302 Get Directions Write a Review

NPPES record last updated: August 7, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pine City Family Chiropractic NPPES

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

PINE CITY FAMILY CHIROPRACTIC (NPI 1093816258) is a healthcare organization registered as a chiropractor in Circle Pines, Minnesota and active in the NPI registry since September 2006. The organization lists Maria L Skotterud, Director Of Human Resources, as its authorized official.

NPPES Registry Identity

NPI1093816258
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDOCKTER - LUTZ CHIROPRACTIC, LLC
Location Address620 CIVIC HEIGHTS DR, SUITE 108Circle Pines, MN 55014-4711
Mailing Address620 Civic Heights Dr, Suite 108Circle Pines, MN 55014-4711 · (763) 795-8300 · Fax (763) 795-8302
Fax(763) 795-8302
Organization SubpartNo
Authorized OfficialMaria L SkotterudDirector Of Human Resources · (763) 795-8300
Enumeration DateSeptember 26, 2006
Last NPPES UpdateAugust 7, 2007
✔ NPI 1093816258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in MN · 3573✔ Licensed in MN · 3400✔ Licensed in MN · 3433
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.
620 CIVIC HEIGHTS DR, Circle Pines, MN 55014

Other Names 1

Doing Business AsPine City Family Chiropractic

Other Identifiers 7

Other1255333845MN · Daniel S Lutz Npi
Medicare UPINU68243MN
Medicare ID-Type UnspecifiedC02713MN · Clinic Group Number
Medicare UPINU69196MN
Medicare UPINU63550MN
Other1932216249MN · Vaughn N Reents Npi
Other1205838869MN · Christopher A Dockter Npi

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted 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)

Pine City Family Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pine City Family Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1205838869
805 2ND ST SE
Pine City, MN 55063
(320) 629-6717
✔ Accepts Medicare48 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 Dockter - Lutz Chiropractic, LLC's NPI number?

The NPI number for Dockter - Lutz Chiropractic, LLC is 1093816258. It was assigned to this organization in the NPPES registry on September 26, 2006. The provider is doing business as Pine City Family Chiropractic.

Where is Dockter - Lutz Chiropractic, LLC located?

Dockter - Lutz Chiropractic, LLC is located at 620 Civic Heights Dr Suite 108, Circle Pines, MN 55014. The listed phone number is (763) 795-8300.

What is Dockter - Lutz Chiropractic, LLC's specialty?

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

Is Dockter - Lutz Chiropractic, LLC enrolled in Medicare?

Yes. Dockter - Lutz Chiropractic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dockter - Lutz Chiropractic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Dockter - Lutz Chiropractic, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dockter - Lutz Chiropractic, LLC accept?

Health plans from HealthPartners list Dockter - Lutz Chiropractic, LLC 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 Dockter - Lutz Chiropractic, LLC was last updated on August 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.