Dettling Chiropractic Rehab and Performance PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6125 Issued in MN

Legal business name

DETTLING CHIROPRACTIC REHAB AND PERFORMANCE PLLC

Practice address

615 66TH Ave N
Brooklyn Center, MN 55430-1667

Phone

(763) 560-8980

Fax

(763) 560-0611

NPI assigned

Sep 2, 2015

Last updated

Jun 23, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul Jeffrey Dettling, D.C. M.S.NPI 1306213798

Title

Owner/ Head Doctor

Phone

(763) 560-8980

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Jeffrey Dettling, D.C.

  • Sports Physician Chiropractor
  • Brooklyn Center, MN
  • NPI 1306213798
  Medicare reassignment Care Compare group NPD Authorized official
• Lance Maki, D.C.

  • Chiropractor
  • Blaine, MN
  • NPI 1033668728
  Medicare reassignment Care Compare group NPD
• Stephanie Bean, D.C.

  • Chiropractor
  • Saint Paul, MN
  • NPI 1427460534
  NPD (past)
• Troy Wendell Bjorklund, D.C.

  • Chiropractor
  • Wayzata, MN
  • NPI 1316071384
  NPD (past)
• Dustin Paul Carlson, D.C.

  • Chiropractor
  • White Bear Lake, MN
  • NPI 1417045048
  NPD (past)
• Stephen John Collins, DC.

  • Chiropractor
  • Blaine, MN
  • NPI 1245314798
  NPD (past)
• Ryan David Feddersen-Poindexter, D.C.

  • Chiropractor
  • Minneapolis, MN
  • NPI 1194913442
  NPD (past)
• Mercedes Faith Macias

  • Massage Therapist
  • Minneapolis, MN
  • NPI 1184543712
  NPD (past)
• Jason A Smith, D.C.

  • Chiropractor
  • Saint Paul, MN
  • NPI 1215019922
  NPD (past)
• Kraig Wheeler

  • Massage Therapist
  • Minneapolis, MN
  • NPI 1649127812
  NPD (past)
• Tyler Mark Hagen, D.C.

  • Chiropractor
  • Fargo, ND
  • NPI 1508127812
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1083081418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 66TH AVE N STE 2",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301666",
            "telephone_number": "763-560-8980",
            "fax_number": "763-560-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 66TH AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301667",
            "telephone_number": "763-560-8980",
            "fax_number": "763-560-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETTLING CHIROPRACTIC REHAB AND PERFORMANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "DETTLING",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER/ HEAD DOCTOR",
        "authorized_official_telephone_number": "763-560-8980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C. M.S."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Denney
• Dental Consultants LLC (Aspen Dental)
• Dental Specialists of Minnesota, PLLC (The Dental Specialists)
• Mark Depaolis, MD
• Beth Anne Despiegelaere, OD
• Paul Jeffrey Dettling, D.C.
• Stephanie Ann Devine, RPH
• Dialleh Services, LLC
• Kadiatou Diallo
• Stephanie Diaz Casco

• Chiropractor in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.