KLETTENBERG CHIROPRACTIC PLLC
NPI 1104399708
Chiropractor in Bagley, MN
About Klettenberg Chiropractic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KLETTENBERG CHIROPRACTIC PLLC (NPI 1104399708) is a healthcare organization registered as a chiropractor in Bagley, Minnesota and active in the NPI registry since January 2019. The organization lists Logan Klettenberg, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Klettenberg Chiropractic Pllc 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 Klettenberg Chiropractic PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Patient Reviews User submitted
Reviews are submitted by site visitors and approved by a human moderator before publication.
Review by Wayne ***** June 6, 2024
5/5Frequently 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 Klettenberg Chiropractic PLLC's NPI number?
The NPI number for Klettenberg Chiropractic PLLC is 1104399708. It was assigned to this organization in the NPPES registry on January 7, 2019.
Where is Klettenberg Chiropractic PLLC located?
Klettenberg Chiropractic PLLC is located at 119 Main Ave N, Bagley, MN 56621. The listed phone number is (218) 252-9455.
What is Klettenberg Chiropractic PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Klettenberg Chiropractic PLLC enrolled in Medicare?
Yes. Klettenberg Chiropractic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Klettenberg Chiropractic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Klettenberg Chiropractic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Klettenberg Chiropractic PLLC was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Klettenberg Chiropractic Pllc · NPI 1104399708
Chiropractor organization in Bagley, Minnesota. Organization record, active in the CMS NPPES registry since January 7, 2019.
## Identity
- **NPI:** 1104399708 (Entity type: Organization)
- **Enumerated:** January 7, 2019
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Logan Klettenberg, OWNER
## Practice location
- **Address:** 119 MAIN AVE N, Bagley, MN 56621-8316
- **Phone:** (218) 252-9455
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104399708) · Data from the CMS NPPES public registry.