1. Home
  2. Directory
  3. Minnesota
  4. Maple Grove
  5. Chiropractor
  6. NPI Profile

GREAT LAKES CHIROPRACTIC LLC
NPI 1326164773
Chiropractor in Maple Grove, MN

Active since March 21, 2007
13601 80TH CIR N, SUITE 210, MAPLE GROVE, MN 55369(763) 420-4635(763) 390-1381 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Lakes Chiropractic Llc NPPES

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

GREAT LAKES CHIROPRACTIC LLC (NPI 1326164773) is a healthcare organization registered as a chiropractor in Maple Grove, Minnesota and active in the NPI registry since March 2007. The organization lists Phillip J Detlefsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1326164773
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGREAT LAKES CHIROPRACTIC LLC
Location Address13601 80TH CIR N, SUITE 210Maple Grove, MN 55369-8999
Mailing Address13601 80th Cir N, Suite 210Maple Grove, MN 55369-8999 · (763) 420-4635 · Fax (763) 390-1381
Phone(763) 420-4635
Fax(763) 390-1381
Organization SubpartNo
Authorized OfficialPhillip J DetlefsenOwner · (763) 420-4635
Enumeration DateMarch 21, 2007
Last NPPES UpdateJune 24, 2010
✔ NPI 1326164773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 4448
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.
13601 80TH CIR N, Maple Grove, MN 55369
Open in Google Maps ↗

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, Medica.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. PHILLIP JOHN DETLEFSEN D.C.
Chiropractor
13601 80TH CIR N, SUITE L70
MAPLE GROVE, MN 55369
Hennepin County (763) 420-4635
GAO NONG ANGEL VANG
Behavior Analyst
13601 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 250-1867
SHAINA JACKSON
Behavior Technician
13601 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (310) 856-0800

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 Great Lakes Chiropractic LLC's NPI number?

The NPI number for Great Lakes Chiropractic LLC is 1326164773. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Great Lakes Chiropractic LLC located?

Great Lakes Chiropractic LLC is located at 13601 80th Cir N Suite 210, Maple Grove, MN 55369. The listed phone number is (763) 420-4635.

What is Great Lakes Chiropractic LLC's specialty?

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

What insurance does Great Lakes Chiropractic LLC accept?

Health plans from HealthPartners and Medica list Great Lakes Chiropractic LLC 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 Great Lakes Chiropractic LLC was last updated on June 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.