DR. DUSTIN D EMBLOM (D.C.) – Chiropractor, NPI 1861727604

DR. DUSTIN D EMBLOM (D.C.) is a healthcare provider. based in St. cloud, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 5254 (MN). The NPI Number for DR. DUSTIN D EMBLOM (D.C.) is 1861727604

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. DUSTIN D EMBLOM (D.C.)
NPI
1861727604
Phone
(320) 240-0300
Address
1011 SECOND STREET NORTH
Enumeration Date
13 October 2009
Last Update Date
2 September 2015

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
3202516422
Graduation Year
2009 (17 years ago)
PAC ID
1557492220
Professional Enrollment ID
I20100623001007
Address ID
MN563033237SA1011XNXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,642 CHIROPRACTIC in MN

Provider Addresses for DR. DUSTIN D EMBLOM (D.C.)

  • 1011 SECOND STREET NORTH

    SUITE 202

    ST. CLOUD, MN 563033237

    Phone: (320) 240-0300

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100623001007IChiropracticMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56303)

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Reviews

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Frequently asked questions

What number should I use to identify DR. DUSTIN D EMBLOM (D.C.) for billing?
Administrative and clinical systems typically use NPI 1861727604 for DR. DUSTIN D EMBLOM (D.C.).
Should I treat DR. DUSTIN D EMBLOM (D.C.) as an active provider?
Patients and plans typically see DR. DUSTIN D EMBLOM (D.C.) as active in the national extract.
Which specialty label fits DR. DUSTIN D EMBLOM (D.C.)?
NPPES ties DR. DUSTIN D EMBLOM (D.C.) to Chiropractor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. DUSTIN D EMBLOM (D.C.) tied to St. Cloud, Minnesota?
If you are local to St. Cloud, Minnesota, DR. DUSTIN D EMBLOM (D.C.) may be relevant to your search.
Can I export DR. DUSTIN D EMBLOM (D.C.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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