DEEP ROCK CHIROPRACTIC PC
NPI 1851051742
Chiropractor in Bemidji, MN

Active since December 20, 2021
1900 DIVISION ST W UNIT 7, BEMIDJI, MN 56601(218) 751-5910(218) 444-5911 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Deep Rock Chiropractic Pc NPPES

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

DEEP ROCK CHIROPRACTIC PC (NPI 1851051742) is a healthcare organization registered as a chiropractor in Bemidji, Minnesota and active in the NPI registry since December 2021. The organization lists Joseph Wade Edlund, Owner, as its authorized official.

NPPES Registry Identity

NPI1851051742
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDEEP ROCK CHIROPRACTIC PC
Location Address1900 DIVISION ST W UNIT 7Bemidji, MN 56601-6397
Mailing Address1900 Division St W Unit 7Bemidji, MN 56601-6397 · (218) 751-5910 · Fax (218) 444-5911
Fax(218) 444-5911
Organization SubpartNo
Authorized OfficialJoseph Wade EdlundOwner · (218) 751-5910
Enumeration DateDecember 20, 2021
NPPES CertifiedDecember 20, 2021
✔ NPI 1851051742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
1900 DIVISION ST W UNIT 7, Bemidji, MN 56601

Other Names 1

Other NameDeep Rock Chiropractic Pc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deep Rock Chiropractic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Deep Rock Chiropractic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1972162550
1900 DIVISION ST W UNIT 7
Bemidji, MN 56601
(218) 444-5911
Same address

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

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 Deep Rock Chiropractic PC's NPI number?

The NPI number for Deep Rock Chiropractic PC is 1851051742. It was assigned to this organization in the NPPES registry on December 20, 2021.

Where is Deep Rock Chiropractic PC located?

Deep Rock Chiropractic PC is located at 1900 Division St W Unit 7, Bemidji, MN 56601. The listed phone number is (218) 751-5910.

What is Deep Rock Chiropractic PC's specialty?

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

Is Deep Rock Chiropractic PC enrolled in Medicare?

Yes. Deep Rock Chiropractic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deep Rock Chiropractic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Deep Rock Chiropractic PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Deep Rock Chiropractic PC was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.