Dean Glenn Renneke, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1572 Issued in MN

Practice address

623 Madison St
Brainerd, MN 56401-4518

Phone

(218) 829-5380

Fax

(218) 825-0972

NPI assigned

May 19, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Renneke Chiropractic Clinic PAGroup PAC ID 6901212372, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• The Renneke Chiropractic Clinic PA

  • Chiropractor
  • Brainerd, MN
  • NPI 1245638584
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962456541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 MADISON ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564014518",
            "telephone_number": "218-829-5380",
            "fax_number": "218-825-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 MADISON ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564014518",
            "telephone_number": "218-829-5380",
            "fax_number": "218-825-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNEKE",
        "first_name": "DEAN",
        "middle_name": "GLENN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70855RE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Redefyne
• Larry Reed
• Jalita Rene Reeder, RN
• Reflections Therapy and Wellness PLLC
• Angela Remmick
• Michael Reyes
• Andrea Rhuby
• Michael Ray Rich, MD
• Scott T Richards, MPT
• Nicole Ann Rieke, MSW, LICSW

• Chiropractor in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.