Logan Klettenberg, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6119 Issued in MN

Practice address

119 Main Ave N
Bagley, MN 56621-8316

Phone

(218) 252-9455

NPI assigned

Aug 5, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heartland Center of Natural Healing PLLCGroup PAC ID 2668622671, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Klettenberg Chiropractic PLLC

  • Chiropractor
  • Bagley, MN
  • NPI 1104399708
  Medicare reassignment NPD Authorized official
• Heartland Center of Natural Healing, PLLC

  • Chiropractor
  • Park Rapids, MN
  • NPI 1376894014

  MN

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1083090765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 872",
            "city": "BAGLEY",
            "state": "MN",
            "postal_code": "566210872",
            "telephone_number": "218-694-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MAIN AVE N",
            "city": "BAGLEY",
            "state": "MN",
            "postal_code": "566218316",
            "telephone_number": "218-252-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLETTENBERG",
        "first_name": "LOGAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-05",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Heider, DPT
• Michael T. Hill, PH.D.
• Melissa Nicole Jenson, RN
• Mary Elizabeth Jones, DDS
• Klettenberg Chiropractic PLLC
• Kim Louise Lavine, OTR/L
• Daniel M Lillquist, P.A.
• Mississippi Headwaters Area Dental Health Center, Inc.
• Robin Motz, SLP
• Karley Neeland, APRN, FNP-C

• All providers in Bagley, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.