Individual provider Active NPI

Dillon Robert Sletten, D.C.

  • Chiropractor
  • Coon Rapids, MN
National Provider Identifier
1841560109
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5613 Issued in MN
Practice address
9920 Foley Blvd NW Suite 140
Coon Rapids, MN 55433
Phone
(763) 710-5523
Fax
(763) 710-5532
NPI assigned
Jan 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5613 MN Primary

Addresses

Primary practice location

9920 Foley Blvd NW Suite 140
Coon Rapids, MN 55433

Mailing address

9920 Foley Blvd NW Suite 140
Coon Rapids, MN 55433
Phone (763) 710-5523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120521000381 MN Practitioner - Chiropractic 9032372545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9920 Foley Blvd NW
Suite 140
Coon Rapids, MN 55433-5216
Phone (763) 710-5523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5613MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Centered Health Chiropractic P a Chiropractor CurrentSince Mar 10, 2012 Accepting new patients
Overstad Chiropractic,P.a. Chiropractor Past Accepting new patients

Locations

9920 Foley Blvd NW
Ste 140
Minneapolis, MN 55433
Phone (763) 710-5523

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1841560109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 FOLEY BLVD NW SUITE 140",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "55433",
            "telephone_number": "763-710-5523",
            "fax_number": "763-710-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 FOLEY BLVD NW SUITE 140",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "55433",
            "telephone_number": "763-710-5523",
            "fax_number": "763-710-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLETTEN",
        "first_name": "DILLON",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-04",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.