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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
2130 2ND ST, WHITE BEAR LAKE, MN 55110(651) 762-8040(651) 762-8070 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 25, 2026, Jun 22, 2016 (2 updates tracked since 2016).

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 Address2130 2ND STWhite Bear Lake, MN 55110-3207
Mailing Address2130 2nd StreetWhite 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 UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ 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.
2130 2ND ST, White Bear Lake, MN 55110
Open in Google Maps ↗

Other Identifiers 3

Other599S5CAMN · Blue Cross Ipn
Medicaid614970700MN
Other94027MN · Healthpartners Pin

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. 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

Medicare Billing Reassignment

Medicare enrollment records show Dustin Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carlson Chiropractic Corporation
Same address
Chiropractor
4717 CLARK AVE
White Bear Lake, MN 55110
  • Reassigned Medicare billing, Minnesota enrollment
  • 5 clinicians in this Medicare group
NPI 1982888020 (651) 762-8040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JESSICA BURTON DC
Chiropractor
2130 2ND ST
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 762-8040
DR. ZACHARY VINCENT POST DC
Chiropractor
2130 2ND ST
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 762-8040
LORRAINE CLAIRE MILLER MASSAGE THERAPIST
Massage Therapist
2130 2ND ST
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 2130 2nd St, 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.

Which organization bills Medicare for Dustin Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dustin Carlson reassigns Medicare benefits to Carlson Chiropractic Corporation (White Bear Lake, 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 Dustin Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dustin Carlson was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.