DETROIT LAKES CHIROPRACTIC, PC
NPI 1235793886
Chiropractor in Detroit Lakes, MN

Q: What is Detroit Lakes Chiropractic, PC's NPI number?

The NPI number for Detroit Lakes Chiropractic, PC is 1235793886. It was assigned to this organization in the NPPES registry on April 30, 2019.

Q: What is Detroit Lakes Chiropractic, PC's specialty?

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

Active since April 30, 2019

213 STATE ST W, DETROIT LAKES, MN 56501(218) 847-4366(218) 847-1838 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Detroit Lakes Chiropractic, Pc NPPES

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

DETROIT LAKES CHIROPRACTIC, PC (NPI 1235793886) is a healthcare organization registered as a chiropractor in Detroit Lakes, Minnesota and active in the NPI registry since April 2019. The organization lists Laura Derke, Finance Manager, as its authorized official.

NPPES Registry Identity

NPI1235793886

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameDETROIT LAKES CHIROPRACTIC, PC

Location Address213 STATE ST WDetroit Lakes, MN 56501-3005

Mailing Address213 State St WDetroit Lakes, MN 56501-3005 · (218) 847-4366 · Fax (218) 847-1838

Phone(218) 847-4366

Fax(218) 847-1838

Organization SubpartNo

Authorized OfficialLaura DerkeFinance Manager · (218) 847-4366

Enumeration DateApril 30, 2019

✔ NPI 1235793886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

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.

213 STATE ST W, Detroit Lakes, MN 56501

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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, Sanford Health Plan.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)

Detroit Lakes Chiropractic, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Detroit Lakes Chiropractic, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Dustin Johnson, DC

Chiropractic

NPI 1770841405

213 STATE ST W
Detroit Lakes, MN 56501

(218) 847-4366

✔ Accepts MedicareSame address

Thomas Wilson, DC

Chiropractic

NPI 1679538565

213 STATE ST W
Detroit Lakes, MN 56501

(218) 847-4366

✔ Accepts MedicareSame address

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 Detroit Lakes Chiropractic, PC's NPI number?

The NPI number for Detroit Lakes Chiropractic, PC is 1235793886. It was assigned to this organization in the NPPES registry on April 30, 2019.

Where is Detroit Lakes Chiropractic, PC located?

Detroit Lakes Chiropractic, PC is located at 213 State St W, Detroit Lakes, MN 56501. The listed phone number is (218) 847-4366.

What is Detroit Lakes Chiropractic, PC's specialty?

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

Is Detroit Lakes Chiropractic, PC enrolled in Medicare?

Yes. Detroit Lakes Chiropractic, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Detroit Lakes Chiropractic, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Detroit Lakes Chiropractic, PC. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Detroit Lakes Chiropractic, PC accept?

Health plans from HealthPartners and Sanford Health Plan list Detroit Lakes Chiropractic, PC 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 Detroit Lakes Chiropractic, PC was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.