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DR. PAUL JEFFREY DETTLING D.C.
NPI 1306213798
Chiropractor - Sports Physician in Brooklyn Center, MN

Active since September 01, 2015Accepts Medicare Assignment
615 66TH AVE N, BROOKLYN CENTER, MN 55430(763) 560-8980 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul Jeffrey Dettling D.c. NPPES

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

DR. PAUL JEFFREY DETTLING D.C. (NPI 1306213798) is an individual sports physician in Brooklyn Center, Minnesota, licensed in Minnesota (6125) and active in the NPI registry since September 2015. He is a graduate of Logan College Of Chiropractic (2015).

NPPES Registry Identity

NPI1306213798
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. PAUL JEFFREY DETTLINGCredential: D.C.
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
Sole ProprietorYes
Medical School CMSLogan College Of ChiropracticGraduated 2015
Enumeration DateSeptember 1, 2015
✔ NPI 1306213798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in MN · 6125
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
615 66TH AVE N, Brooklyn Center, MN 55430
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul Jeffrey Dettling D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325354368
PECOS Enrollment IDI20150904001882

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DETTLING CHIROPRACTIC REHAB AND PERFORMANCE PLLC
Chiropractor
615 66TH AVE N
BROOKLYN CENTER, MN 55430
Hennepin County (763) 560-8980
CARLSON HEALTHCARE LLC
Chiropractor
615 66TH AVE N
BROOKLYN CENTER, MN 55430
Hennepin County (651) 338-7259

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 Paul Dettling's NPI number?

The NPI number for Paul Dettling is 1306213798. It was assigned to this individual provider in the NPPES registry on September 1, 2015.

Where is Paul Dettling located?

Paul Dettling practices at 615 66th Ave N, Brooklyn Center, MN 55430. The listed phone number is (763) 560-8980.

What is Paul Dettling's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Paul Dettling enrolled in Medicare?

Yes. Paul Dettling is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Dettling accept?

Health plans from HealthPartners and Medica list Paul Dettling 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 Paul Dettling was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.