Brian Lawrence Dethlefsen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

637 Issued in ND

Practice address

14 N 5TH St
Oakes, ND 58474-1209

Phone

(701) 742-2750

Fax

(701) 742-2909

NPI assigned

Sep 20, 2006

Last updated

Sep 16, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Dethlefsen Chiropractic

  • Chiropractor
  • Oakes, ND
  • NPI 1376897033
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1861599730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N 5TH ST",
            "city": "OAKES",
            "state": "ND",
            "postal_code": "584741209",
            "telephone_number": "701-742-2750",
            "fax_number": "701-742-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N 5TH ST",
            "city": "OAKES",
            "state": "ND",
            "postal_code": "584741209",
            "telephone_number": "701-742-2750",
            "fax_number": "701-742-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETHLEFSEN",
        "first_name": "BRIAN",
        "middle_name": "LAWRENCE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10200",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Cox
• Katie Marie Dahlstrom, PMHNP-BC
• Nicole M Deering, OTR/L
• Hannible Dennis III
• Dethlefsen Chiropractic
• DLG Pharmacy, LLC (Oakes Family Pharmacy)
• Dr Geoffrey Rath Optometrist PC
• Barbara Erlandson LRD PLLC, LRD CDE
• Denise E Erlandson, NP
• Alex James Fjeldheim, FNP DNP

• Chiropractor in Oakes, ND
• Providers in Oakes, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.