DR. PAUL JEFFREY DETTLING (NPI# 1306213798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306213798 |
| Entity Type | Individual |
| Full Name | DR. PAUL JEFFREY DETTLING |
| Credential | D.C. |
| Practice Address |
615 66th Ave N Brooklyn Center MN 55430-1667 |
| Mailing Address |
615 66th Ave N Ste 2 Brooklyn Center MN 55430-1666 |
| Practice Telephone | 7635608980 |
| Mailing Telephone | 7635608980 |
| Mailing Fax Number | 7635600611 |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
6125 | MN | Chiropractic Providers |
| Street Address |
615 66TH AVE N |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55430-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578860565 | Carlson Healthcare LLC | Chiropractor | 615 66th Ave N, Brooklyn Center, MN 55430-1667 | 2011-02-28 |
| 1083081418 | Dettling Chiropractic Rehab and Performance Pllc | Chiropractor | 615 66th Ave N, Brooklyn Center, MN 55430-1667 | 2015-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362182 | Graceland Homes | Home Health | 6843 Colfax Ave N, Brooklyn Center, MN 55430 | 2020-06-29 |
| 1912549742 | His Services Home Care, LLC | Home Health | 2108 70th Avenue North, Brooklyn Park, MN 55430 | 2019-10-14 |
| 1336612969 | Jeremiah Sk Pojah Sr. | Registered Nurse | 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 | 2019-01-07 |
| 1891219697 | Tamika Yvette Spicer | Home Health Aide | 6640 Humboldt Ave N, 101, Brooklyn Center, MN 55430 | 2017-08-02 |
| 1265973358 | James Contois | Community Based Residential Treatment Facility, Mental Illness | 6120 Earle Brown Drive, Suite 100, Brooklyn Center, MN 55430 | 2017-03-09 |
| 1336693746 | Sara Jean Cooper | Dentist | 1090 Shingle Creek Pkwy, Brooklyn Center, MN 55430 | 2016-08-15 |
| 1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
| 1649628561 | Tranquility Health LLC | Community/Behavioral Health | 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 | 2016-06-01 |
| 1104233790 | Lillie's Helping Hands | In Home Supportive Care | 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 | 2014-07-16 |
| 1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
| Find all providers in zip 55430 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902293202 | Twin Cities Spine & Sports, LLC | Chiropractor | 4510 W 77th St, Suite 222, Edina, MN 55435-5505 | 2015-04-24 |
| 1831587930 | Ibackcheck Chiropractic | Chiropractor | 3650 Plymouth Blvd, Suite 100, Plymouth, MN 55446-3201 | 2014-12-26 |
| 1790181915 | Advanced Wellness & Sports Rehab Pa | Chiropractor | 11132 Commerce Ln N, Champlin, MN 55316-3112 | 2014-11-16 |
| 1063857621 | Minnesota Spine & Sports Rehab | Chiropractor | 29 S Walnut St Ste 200, La Crescent, MN 55947-1605 | 2013-05-08 |
| 1508128232 | New Creation Sports and Wellness, LLC | Chiropractor | 7500 Hudson Blvd N Ste 180, Oakdale, MN 55128-7064 | 2012-06-08 |
| 1659659159 | Bradley Owen Olson | Chiropractor | 1312 Delaware St Nw, Hutchinson, MN 55350-3301 | 2011-08-01 |
| 1265738421 | Don Lee Jewell | Chiropractor | 11222 86th Ave N, Maple Grove, MN 55369-4510 | 2011-02-07 |
| 1790089654 | Kaitlin Renee Battaglia | Chiropractor | 5250 W 74th St Ste 8, Edina, MN 55439-2229 | 2011-01-06 |
| 1881902591 | Dr. Kim Leis-keeling, LLC | Chiropractor | 2121 Cliff Dr Ste 101, Eagan, MN 55122-3407 | 2010-09-15 |
| 1740430651 | Sarah Mae Peters | Chiropractor | 6982 Alpine Trl, Eden Prairie, MN 55346-3739 | 2008-09-27 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN CENTER |
| Zip Code | 55430 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.