Klettenberg Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

KLETTENBERG CHIROPRACTIC PLLC

Practice address

119 Main Ave N
Bagley, MN 56621-8316

Phone

(218) 252-9455

NPI assigned

Jan 7, 2019

Last updated

Apr 17, 2026By 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

Logan Klettenberg, DCNPI 1083090765

Title

Owner

Phone

(218) 252-9455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Logan Klettenberg, D.C.

  • Chiropractor
  • Bagley, MN
  • NPI 1083090765
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1104399708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MAIN AVE N",
            "city": "BAGLEY",
            "state": "MN",
            "postal_code": "566218316"
        },
        {
            "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": {
        "organization_name": "KLETTENBERG CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "KLETTENBERG",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-252-9455",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Rene Haugen
• Sarah Heider, DPT
• Michael T. Hill, PH.D.
• Melissa Nicole Jenson, RN
• Mary Elizabeth Jones, DDS
• Logan Klettenberg, D.C.
• Kim Louise Lavine, OTR/L
• Daniel M Lillquist, P.A.
• Mississippi Headwaters Area Dental Health Center, Inc. (Northern Dental Access Center)
• Robin Motz, SLP

• Chiropractor in Bagley, MN
• Providers in Bagley, MN by specialty
• 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.