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DR. BRENT EDWIN TIERI D.C.
NPI 1902116411
Chiropractor in Maple Grove, MN

Active since October 18, 2010
13324 BASS LAKE RD, MAPLE GROVE, MN 55311(763) 568-7869(763) 568-7872 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brent Edwin Tieri D.c. NPPES

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

DR. BRENT EDWIN TIERI D.C. (NPI 1902116411) is an individual chiropractor in Maple Grove, Minnesota, licensed in Minnesota (5351) and active in the NPI registry since October 2010. He is a graduate of Northwestern College Of Chiropractic (2009).

NPPES Registry Identity

NPI1902116411
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BRENT EDWIN TIERICredential: D.C.
Location Address13324 BASS LAKE RDMaple Grove, MN 55311-4540
Mailing Address13324 Bass Lake RdMaple Grove, MN 55311-4540 · (763) 568-7869 · Fax (763) 568-7872
Phone(763) 568-7869
Fax(763) 568-7872
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2009
Enumeration DateOctober 18, 2010
Last NPPES UpdateDecember 30, 2020
NPPES CertifiedDecember 30, 2020
✔ NPI 1902116411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 5351
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.
13324 BASS LAKE RD, Maple Grove, MN 55311
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brent Edwin Tieri D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749461374
PECOS Enrollment IDI20110301001159

Other Providers at the Same Location NPPES

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

TIERI CHIROPRACTIC, LLC
Chiropractor
13324 BASS LAKE RD
MAPLE GROVE, MN 55311
Hennepin County (763) 568-7869

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 Brent Tieri's NPI number?

The NPI number for Brent Tieri is 1902116411. It was assigned to this individual provider in the NPPES registry on October 18, 2010.

Where is Brent Tieri located?

Brent Tieri practices at 13324 Bass Lake Rd, Maple Grove, MN 55311. The listed phone number is (763) 568-7869.

What is Brent Tieri's specialty?

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

Is Brent Tieri enrolled in Medicare?

Yes. Brent Tieri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brent Tieri was last updated on December 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.