Dettling Chiropractic Rehab and Performance PLLC
NPI 1083081418ActiveOrganization· Chiropractor· Brooklyn Center, MN
Chiropractor in Brooklyn Center, Minnesota, registered in NPPES in September 2015. The authorized official on file is Paul Jeffrey Dettling, D.C. M.S., Owner/ Head Doctor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083081418 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 2, 2015 |
| Last updated in NPPES | Jun 23, 2025 |
| Certified by provider | Jun 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 6125 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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