DR. PAUL JEFFREY DETTLING D.C.
NPI 1306213798
Chiropractor - Sports Physician in Brooklyn Center, MN
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Paul Dettling reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brooklyn Center, MN 55430
- Reassigned Medicare billing, Minnesota enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
BROOKLYN CENTER, MN 55430
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.
Which organization bills Medicare for Paul Dettling's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Dettling reassigns Medicare benefits to Dettling Chiropractic Rehab And Performance PLLC (Brooklyn Center, MN). The 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 Paul Dettling's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Dettling accept?
Health plans from HealthPartners 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 11 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.
# Dr. Paul Jeffrey Dettling, D.C. · NPI 1306213798
Sports Physician provider in Brooklyn Center, Minnesota. Individual provider, active in the CMS NPPES registry since September 1, 2015.
## Identity
- **NPI:** 1306213798 (Entity type: Individual)
- **Enumerated:** September 1, 2015
- **Primary specialty:** Chiropractor - Sports Physician · taxonomy 111NS0005X
- **State license:** 6125 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 615 66TH AVE N, Brooklyn Center, MN 55430-1667
- **Phone:** (763) 560-8980
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Dettling Chiropractic Rehab And Performance PLLC (NPI 1083081418, Brooklyn Center, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Logan College Of Chiropractic, class of 2015
## Record status
- **NPPES last updated:** September 1, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1306213798) · Data from the CMS NPPES public registry.