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Pequot Lakes Chiropractic PA

Chiropractor in Pequot Lakes, MN · enumerated 2021 · authorized official Joshua Dietze, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417540774

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Registry record

Entity type Organization (Type 2)
Legal business name Pequot Lakes Chiropractic PA
Practice address 31095 Berquist Dr, Pequot Lakes, MN, 56472
Phone (218) 568-7767
Fax (218) 568-4580
Enumeration date Feb 18, 2021
Last updated in NPPES Feb 18, 2021

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers Primary

Authorized official

Name Joshua Dietze
Title Owner
Phone (218) 568-7677

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Pequot Lakes Chiropractic PA?
The NPI for Pequot Lakes Chiropractic PA is 1417540774, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Pequot Lakes Chiropractic PA?
NPPES lists Joshua Dietze (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-02-18.