DEJONG CLINIC PLLC
NPI 1932856457
Chiropractor in Eden Prairie, MN

Q: What is Dejong Clinic PLLC's NPI number?

The NPI number for Dejong Clinic PLLC is 1932856457. It was assigned to this organization in the NPPES registry on March 4, 2022. The provider is doing business as Elite Spine Chiropractic.

Q: What is Dejong Clinic PLLC's specialty?

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

Active since March 04, 2022

14675 MARTIN DR STE 100, EDEN PRAIRIE, MN 55344(952) 797-3045 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dejong Clinic Pllc NPPES

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

DEJONG CLINIC PLLC (NPI 1932856457), doing business as Elite Spine Chiropractic, is a healthcare organization registered as a chiropractor in Eden Prairie, Minnesota and active in the NPI registry since March 2022. The organization lists Blake R Dejong, Owner, as its authorized official.

NPPES Registry Identity

NPI1932856457

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameDEJONG CLINIC PLLC

Location Address14675 MARTIN DR STE 100Eden Prairie, MN 55344-2016

Mailing Address14675 Martin Dr Ste 100Eden Prairie, MN 55344-2016 · (952) 797-3045

Phone(952) 797-3045

Organization SubpartNo

Authorized OfficialBlake R DejongOwner · (952) 797-3045

Enumeration DateMarch 4, 2022

NPPES CertifiedMarch 4, 2022

✔ NPI 1932856457 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.

14675 MARTIN DR STE 100, Eden Prairie, MN 55344

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Other Names 1

Doing Business AsElite Spine Chiropractic

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

Other Providers at the Same Location NPPES

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

DR. BLAKE R DEJONG

Chiropractor

14675 MARTIN DR STE 100
EDEN PRAIRIE, MN 55344

Hennepin County (952) 797-3045

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 Dejong Clinic PLLC's NPI number?

The NPI number for Dejong Clinic PLLC is 1932856457. It was assigned to this organization in the NPPES registry on March 4, 2022. The provider is doing business as Elite Spine Chiropractic.

Where is Dejong Clinic PLLC located?

Dejong Clinic PLLC is located at 14675 Martin Dr Ste 100, Eden Prairie, MN 55344. The listed phone number is (952) 797-3045.

What is Dejong Clinic PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Dejong Clinic PLLC was last updated on March 4, 2022. 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.