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DR. DUSTIN PAUL CARLSON D.C.
NPI 1417045048
Chiropractor in White Bear Lake, MN

Active since October 10, 2006Accepts Medicare Assignment
4717 CLARK AVE, WHITE BEAR LAKE, MN 55110(651) 762-8040(651) 762-8070 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Dustin Paul Carlson D.c. NPPES

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

DR. DUSTIN PAUL CARLSON D.C. (NPI 1417045048) is an individual chiropractor in White Bear Lake, Minnesota, licensed in Minnesota (4394) and active in the NPI registry since October 2006. He is a graduate of Logan College Of Chiropractic (2003).

NPPES Registry Identity

NPI1417045048
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. DUSTIN PAUL CARLSONCredential: D.C.
Location Address4717 CLARK AVEWhite Bear Lake, MN 55110-3221
Mailing Address4717 Clark AveWhite Bear Lake, MN 55110-3221 · (651) 762-8040 · Fax (651) 762-8070
Phone(651) 762-8040
Fax(651) 762-8070
Sole ProprietorYes
Medical School CMSLogan College Of ChiropracticGraduated 2003
Enumeration DateOctober 10, 2006
Last NPPES UpdateJune 22, 2016
✔ NPI 1417045048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 4394
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.
4717 CLARK AVE, White Bear Lake, MN 55110
Open in Google Maps ↗

Other Identifiers 6

Other270057691MN · Tax Id Number
Medicare ID-Type Unspecified350002878MN
Medicaid614970700MN
Other599S5CAMN · Blue Cross Ipn
Medicare UPINU95521MN
Other94027MN · Healthpartners Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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. Dustin Paul Carlson 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 ID3476639550
PECOS Enrollment IDI20080331000030

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
381 services63 patients

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. GRETCHEN KAYE KEENE DC
Chiropractor
4717 CLARK AVE
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 762-8040
DR. CONNOR REED GINDER DC
Chiropractor
4717 CLARK AVE
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 762-8040
CARLSON CHIROPRACTIC CORPORATION
Chiropractor
4717 CLARK AVE
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 762-8040

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 Dustin Carlson's NPI number?

The NPI number for Dustin Carlson is 1417045048. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Dustin Carlson located?

Dustin Carlson practices at 4717 Clark Ave, White Bear Lake, MN 55110. The listed phone number is (651) 762-8040.

What is Dustin Carlson's specialty?

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

Is Dustin Carlson enrolled in Medicare?

Yes. Dustin Carlson 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 Dustin Carlson accept?

Health plans from Medica list Dustin Carlson 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 Dustin Carlson was last updated on June 22, 2016. 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.