BLACKDUCK CHIROPRACTIC, LLC
NPI 1114465366
Chiropractor in Blackduck, MN
About Blackduck Chiropractic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLACKDUCK CHIROPRACTIC, LLC (NPI 1114465366) is a healthcare organization registered as a chiropractor in Blackduck, Minnesota and active in the NPI registry since February 2017. The organization lists Heather Christine Tjepkes, 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)
Blackduck Chiropractic, Llc 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 Blackduck Chiropractic, LLC, 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.
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 Blackduck Chiropractic, LLC's NPI number?
The NPI number for Blackduck Chiropractic, LLC is 1114465366. It was assigned to this organization in the NPPES registry on February 8, 2017.
Where is Blackduck Chiropractic, LLC located?
Blackduck Chiropractic, LLC is located at 22388 Blackduck Lake Rd NE, Blackduck, MN 56630. The listed phone number is (218) 835-8837.
What is Blackduck Chiropractic, LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Blackduck Chiropractic, LLC enrolled in Medicare?
Yes. Blackduck Chiropractic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blackduck Chiropractic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Blackduck 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.
When was this NPI record last updated?
The NPPES record for Blackduck Chiropractic, LLC was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Blackduck Chiropractic, Llc · NPI 1114465366
Chiropractor organization in Blackduck, Minnesota. Organization record, active in the CMS NPPES registry since February 8, 2017.
## Identity
- **NPI:** 1114465366 (Entity type: Organization)
- **Enumerated:** February 8, 2017
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Heather Tjepkes, OWNER
## Practice location
- **Address:** 22388 BLACKDUCK LAKE RD NE, Blackduck, MN 56630-4226
- **Phone:** (218) 835-8837
## 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:** January 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114465366) · Data from the CMS NPPES public registry.